Smith, Jeremiah Shane

Smith, Jeremiah Shane is an individual health care provider with primary practice located at 605 Glenwood Drive, Suite 105 Chi Memorial Thoracic Oncology Associates, Chattanooga TN 37404. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as his primary health care specialty. Smith, Jeremiah Shane can be contacted via phone (423) 495-5864.

Contact Information

Primary practice address
605 Glenwood Drive, Suite 105 Chi Memorial Thoracic Oncology Associates Chattanooga TN 37404
Phone: (423) 495-5864
Fax: (423) 495-2065
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X APN0000016902 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 16902 Tennessee

Profile Details

NPI number 1790039188
LBN Legal business name Smith, Jeremiah Shane
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2012
Last updated Jul 21st, 2022 - about 3 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 1790039188 NPPES
Tennessee Other 16902 APN LICENSE

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