Perales, Marymer Patricia

Perales, Marymer Patricia is an individual health care provider with primary practice located at 2018 W Clinch Ave , Knoxville TN 37916-2301. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Perales, Marymer Patricia can be contacted via phone (865) 541-8000.

Contact Information

Primary practice address
2018 W Clinch Ave Knoxville TN 37916-2301
Phone: (865) 541-8000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X MD39134 Tennessee
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD39134 Tennessee

Profile Details

NPI number 1750326179
LBN Legal business name Perales, Marymer Patricia
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2006
Last updated Apr 15th, 2022 - about 2 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 1750326179 NPPES
Tennessee Other 4091357 BLUE CROSS
Tennessee MEDICAID 64096035 BLUE CROSS
Tennessee MEDICAID 5440437 BLUE CROSS

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