Reese, Eugene P

Reese, Eugene P is an individual health care provider with primary practice located at 616 W Forest Ave , Jackson TN 38301-3902. He recently has only one registered license in Allopathic & Osteopathic Physicians / Medical Oncology, which is considered as his primary health care specialty. Reese, Eugene P can be contacted via phone (731) 422-0339.

Contact Information

Primary practice address
616 W Forest Ave Jackson TN 38301-3902
Phone: (731) 422-0339
Fax: (731) 422-0486
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X MD12385 Tennessee

Profile Details

NPI number 1992773428
LBN Legal business name Reese, Eugene P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 10th, 2006
Last updated Nov 29th, 2012 - 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 1992773428 NPPES
Tennessee MEDICAID 3175499

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