Neblett, John Wallace
Neblett, John Wallace is an individual health care provider with primary practice located at 700 West Forest Ste 200, Jackson TN 38301. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Neblett, John Wallace can be contacted via phone (731) 541-9490.Contact Information
Primary practice address
700 West Forest Ste 200
Jackson TN 38301
Phone: (731) 541-9490
Fax: (731) 541-9485
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | 11356 | Tennessee |
Profile Details
| NPI number | 1578591731 |
|---|---|
| LBN Legal business name | Neblett, John Wallace |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 28th, 2006 |
| Last updated | Jul 22nd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578591731 | NPPES |
| Tennessee | MEDICAID | 3003235 | |
| Tennessee | Other | 4052872 | |
| Tennessee | Other | 4034740 |
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