Marchessault, Jeffrey Alan

Marchessault, Jeffrey Alan is an individual health care provider with primary practice located at 410 N State Of Franklin Rd Ste 140 , Johnson City TN 37604-6972. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Hand Surgery. Allopathic & Osteopathic Physicians / Hand Surgery is his primary health care specialty. Marchessault, Jeffrey Alan can be contacted via phone (423) 431-2460.

Contact Information

Primary practice address
410 N State Of Franklin Rd Ste 140 Johnson City TN 37604-6972
Phone: (423) 431-2460
Fax: (423) 431-2456
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 48121 Tennessee
Allopathic & Osteopathic Physicians / Hand Surgery 207XS0106X 48121 Tennessee

Profile Details

NPI number 1134114333
LBN Legal business name Marchessault, Jeffrey Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2005
Last updated Aug 1st, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134114333 NPPES
Virginia MEDICAID 1134114333
Virginia MEDICAID 1528664
Virginia Other 48121

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