Pack, Jared W
Pack, Jared W is an individual health care provider with primary practice located at 1 Medical Park Blvd , Bristol TN 37620-7430. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Pack, Jared W can be contacted via phone (423) 844-5560.Contact Information
Primary practice address
1 Medical Park Blvd
Bristol TN 37620-7430
Phone: (423) 844-5560
Fax: (423) 844-5569
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 2980 | Tennessee |
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 2980 | Tennessee |
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X |
Profile Details
NPI number | 1396163101 |
---|---|
LBN Legal business name | Pack, Jared W |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 31st, 2014 |
Last updated | Jul 21st, 2022 - about 3 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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