Root, James P

Root, James P is an individual health care provider with primary practice located at 713 Yadkin St , Kingsport TN 37660-4933. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Root, James P can be contacted via phone (423) 245-4935.

Contact Information

Primary practice address
713 Yadkin St Kingsport TN 37660-4933
Phone: (423) 245-4935
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RN0000112726 Tennessee

Profile Details

NPI number 1720071756
LBN Legal business name Root, James P
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2005
Last updated Dec 17th, 2008 - 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 1720071756 NPPES
Tennessee MEDICAID 3625738

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