Sublett, Jeremy Alan

Sublett, Jeremy Alan is an individual health care provider with primary practice located at 1633 W Main St Suite 901, Lebanon TN 37087-3423. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Sublett, Jeremy Alan can be contacted via phone (615) 547-4994.

Contact Information

Primary practice address
1633 W Main St Suite 901 Lebanon TN 37087-3423
Phone: (615) 547-4994
Fax: (615) 547-4995
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC0000002521 Tennessee

Profile Details

NPI number 1376878942
LBN Legal business name Sublett, Jeremy Alan
Credentials LPC-MHSP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 14th, 2009
Last updated May 9th, 2013 - about 11 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 1376878942 NPPES
Tennessee MEDICAID 1516554

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