Short, Blair P

Short, Blair P is an individual health care provider with primary practice located at 10810 Parkside Dr Suite G11, Knoxville TN 37934-1979. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, which is considered as her primary health care specialty. Short, Blair P can be contacted via phone (865) 218-6660.

Contact Information

Primary practice address
10810 Parkside Dr Suite G11 Knoxville TN 37934-1979
Phone: (865) 218-6660
Fax: (865) 218-6661
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X RN0000110899 Tennessee

Profile Details

NPI number 1649444324
LBN Legal business name Short, Blair P
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 15th, 2008
Last updated Apr 15th, 2008 - about 16 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1649444324 NPPES
Tennessee MEDICAID 3704598

Popular Providers