Spann, John A

Spann, John A is an individual health care provider with primary practice located at 6015 Shallowford Road , Chattanooga TN 37421-1688. He recently has only one registered license in Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery, which is considered as his primary health care specialty. Spann, John A can be contacted via phone (423) 893-3333.

Contact Information

Primary practice address
6015 Shallowford Road Chattanooga TN 37421-1688
Phone: (423) 893-3333
Fax: (423) 954-3054
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X 07279 Tennessee

Profile Details

NPI number 1578566519
LBN Legal business name Spann, John A
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2005
Last updated Jul 1st, 2016 - about 8 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 1578566519 NPPES
Tennessee Other 7745039 AETNA PROVIDER NUMBER
Tennessee MEDICAID 3226438 AETNA PROVIDER NUMBER
Tennessee Other 3125604 AETNA PROVIDER NUMBER

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