Summers, Jeffrey Scott

Summers, Jeffrey Scott is an individual health care provider with primary practice located at 6612 Maynardville Hwy , Knoxville TN 37918-4817. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Summers, Jeffrey Scott can be contacted via phone (865) 688-1584.

Contact Information

Primary practice address
6612 Maynardville Hwy Knoxville TN 37918-4817
Fax: (865) 688-1581
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 26566 Tennessee

Profile Details

NPI number 1528067816
LBN Legal business name Summers, Jeffrey Scott
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2005
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 1528067816 NPPES
Tennessee Other 3125163 BCBST
Tennessee Other 5130096 BCBST
Tennessee Other TN0101 BCBST
Tennessee Other 0689048 BCBST
Tennessee Other 5130096 BCBST
Tennessee Other 0441416 BCBST
Tennessee MEDICAID 3094778 BCBST

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