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:
Health care specialties
Specialty | Code | License # | 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 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1790039188 | NPPES |
Tennessee | Other | 16902 | APN LICENSE |
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