Prewitt, Darrion Jewayne

Prewitt, Darrion Jewayne is an sole proprietor health care provider with primary practice located at 503 E Tickle St Suite C, Dyersburg TN 38024-3165. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Prewitt, Darrion Jewayne can be contacted via phone (731) 512-0104.

Contact Information

Primary practice address
503 E Tickle St Suite C Dyersburg TN 38024-3165
Fax: (731) 512-0601
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD027357 Tennessee

Profile Details

NPI number 1841284445
LBN Legal business name Prewitt, Darrion Jewayne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 9th, 2005
Last updated Apr 7th, 2011 - about 13 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 1841284445 NPPES
Tennessee Other 3073645 BLUE CROSS OF TN
Tennessee Other 3775116 BLUE CROSS OF TN
Tennessee Other 110164227 BLUE CROSS OF TN
Tennessee Other 115832 BLUE CROSS OF TN
Tennessee Other 0440355 BLUE CROSS OF TN
Tennessee Other 5133201 BLUE CROSS OF TN
Tennessee Other 7126 BLUE CROSS OF TN
Tennessee MEDICAID 3807605 BLUE CROSS OF TN

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