Nicholson, Brenda Pittman

Nicholson, Brenda Pittman is an individual health care provider with primary practice located at 1415 Old Weisgarber Rd Sutie 200, Knoxville TN 37909-1292. She recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as her primary health care specialty. Nicholson, Brenda Pittman can be contacted via phone (865) 934-5800.

Contact Information

Primary practice address
1415 Old Weisgarber Rd Sutie 200 Knoxville TN 37909-1292
Phone: (865) 934-5800
Fax: (865) 934-5801
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X MD0000026965 Tennessee
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 37952 Kentucky
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 9400654 North Carolina

Profile Details

NPI number 1164422655
LBN Legal business name Nicholson, Brenda Pittman
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2005
Last updated Mar 2nd, 2011 - about 14 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 1164422655 NPPES
Tennessee MEDICAID 3823592
Tennessee MEDICAID 64721392

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