Mcbride, James Shawn

Mcbride, James Shawn is an individual health care provider with primary practice located at 105 W Blackwell St , Tullahoma TN 37388-3555. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Mcbride, James Shawn can be contacted via phone (931) 455-0654.

Contact Information

Primary practice address
105 W Blackwell St Tullahoma TN 37388-3555
Phone: (931) 455-0654
Fax: (931) 455-0669
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X T1435 Tennessee

Profile Details

NPI number 1700856267
LBN Legal business name Mcbride, James Shawn
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2006
Last updated Feb 20th, 2009 - about 16 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 1700856267 NPPES
Tennessee MEDICAID 3598559

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