Oldham, John W

Oldham, John W is an sole proprietor health care provider with primary practice located at 4066 Hixson Pike , Chattanooga TN 37415-3110. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Oldham, John W can be contacted via phone (423) 870-5650.

Contact Information

Primary practice address
4066 Hixson Pike Chattanooga TN 37415-3110
Fax: (423) 870-5638
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LSW0957 Tennessee

Profile Details

NPI number 1770635708
LBN Legal business name Oldham, John W
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 18th, 2007
Last updated Jul 8th, 2007 - about 17 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 1770635708 NPPES
Tennessee Other 0142829 BLUE CROSS BLUE SHIELD

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