Sansing, Brockton Jolly

Sansing, Brockton Jolly is an individual health care provider with primary practice located at 4220 Harding Pike Suite 500, Nashville TN 37205-2005. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Sansing, Brockton Jolly can be contacted via phone (615) 222-6977.

Contact Information

Primary practice address
4220 Harding Pike Suite 500 Nashville TN 37205-2005
Phone: (615) 222-6977
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X A97656 Colorado
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 49166 Tennessee

Profile Details

NPI number 1144413956
LBN Legal business name Sansing, Brockton Jolly
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2007
Last updated Jun 15th, 2015 - about 10 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 1144413956 NPPES
Kentucky MEDICAID 7100228510
Kentucky MEDICAID 1530522
Kentucky Other 4340915

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