Standridge, John Brendle

Standridge, John Brendle is an sole proprietor health care provider with primary practice located at 207 Spears Ave , Chattanooga TN 37405. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / Addiction Medicine is his primary health care specialty. Standridge, John Brendle can be contacted via phone (423) 531-4265.

Contact Information

Primary practice address
207 Spears Ave Chattanooga TN 37405
Phone: (423) 531-4265
Fax: (423) 531-4267
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 9010 Tennessee
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X 9010 Tennessee

Profile Details

NPI number 1568494284
LBN Legal business name Standridge, John Brendle
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 6th, 2006
Last updated Jun 23rd, 2018 - about 6 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 1568494284 NPPES
Tennessee MEDICAID 3157266

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