Neaderthal, Robert Lee

Neaderthal, Robert Lee is an sole proprietor health care provider with primary practice located at 3919 Cross Creek Rd , Nashville TN 37215-2428. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Neaderthal, Robert Lee can be contacted via phone (615) 584-8422.

Contact Information

Primary practice address
3919 Cross Creek Rd Nashville TN 37215-2428
Phone: (615) 584-8422
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MD08275 Tennessee

Profile Details

NPI number 1417950965
LBN Legal business name Neaderthal, Robert Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 28th, 2005
Last updated Dec 13th, 2013 - about 11 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 1417950965 NPPES
Tennessee MEDICAID 3165746
Tennessee Other 3011452
Tennessee Other 0440482

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