Monnig, Jack A

Monnig, Jack A is an individual health care provider with primary practice located at 2845 W Andrew Johnson Hwy , Morristown TN 37814-3216. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Monnig, Jack A can be contacted via phone (423) 587-8009.

Contact Information

Primary practice address
2845 W Andrew Johnson Hwy Morristown TN 37814-3216
Phone: (423) 587-8009
Fax: (423) 289-1607
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X MD0000007871 Tennessee

Profile Details

NPI number 1891798641
LBN Legal business name Monnig, Jack A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2005
Last updated Feb 24th, 2014 - about 10 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 1891798641 NPPES
Tennessee Other 4130585 BCBS
Tennessee MEDICAID 3176988 BCBS

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