Shrader, Brenda J

Shrader, Brenda J is an individual health care provider with primary practice located at 901 Nance Rd , New Market TN 37820-3551. She recently has only one registered license in Nursing Service Providers / Administrator, which is considered as her primary health care specialty. Shrader, Brenda J can be contacted via phone (865) 475-1841.

Contact Information

Primary practice address
901 Nance Rd New Market TN 37820-3551
Phone: (865) 475-1841
Fax: (865) 475-1841
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Administrator 163WA2000X RN0000033753 Illinois

Profile Details

NPI number 1669549846
LBN Legal business name Shrader, Brenda J
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2006
Last updated Jul 8th, 2007 - about 18 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 1669549846 NPPES
Tennessee MEDICAID 1454624

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