Shaver, Jonathan C.

Shaver, Jonathan C. is an individual health care provider with primary practice located at 576 Fort Loudoun Medical Center Dr Ste 100 , Lenoir City TN 37772-5676. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Shaver, Jonathan C. can be contacted via phone (865) 988-8667.

Contact Information

Primary practice address
576 Fort Loudoun Medical Center Dr Ste 100 Lenoir City TN 37772-5676
Phone: (865) 988-8667
Fax: (865) 988-8837
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 44482 Tennessee

Profile Details

NPI number 1689680118
LBN Legal business name Shaver, Jonathan C.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2006
Last updated Oct 13th, 2023 - 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 1689680118 NPPES
Tennessee MEDICAID 1515014

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