Sodemann, Jeffrey Paul

Sodemann, Jeffrey Paul is an individual health care provider with primary practice located at 1043 Executive Drive Suite 101, Hixson TN 37343-3998. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Sodemann, Jeffrey Paul can be contacted via phone (423) 870-6004.

Contact Information

Primary practice address
1043 Executive Drive Suite 101 Hixson TN 37343-3998
Phone: (423) 870-6004
Fax: (423) 870-6005
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT0000000341 Tennessee
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT000554 Georgia

Profile Details

NPI number 1891733093
LBN Legal business name Sodemann, Jeffrey Paul
Credentials PHYSICAL THERAPIST
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2006
Last updated Jul 8th, 2007 - about 17 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 1891733093 NPPES
Tennessee Other 3110918 BLUECROSS BLUESHILD OF TN

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