Newman, Carolyn M

Newman, Carolyn M is an sole proprietor health care provider with primary practice located at 219 S Missouri St , Jackson TN 38301-7464. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Newman, Carolyn M can be contacted via phone (731) 422-6630.

Contact Information

Primary practice address
219 S Missouri St Jackson TN 38301-7464
Phone: (731) 422-6630
Fax: (731) 935-2866
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APN5538 Tennessee

Profile Details

NPI number 1053467589
LBN Legal business name Newman, Carolyn M
Credentials APN-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 26th, 2007
Last updated Dec 12th, 2018 - about 6 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 1053467589 NPPES
Tennessee Other 12817 TLC
Tennessee MEDICAID 3702839 TLC
Tennessee Other 3141680 TLC

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