Tallent, Phillip G
Tallent, Phillip G is an sole proprietor health care provider with primary practice located at 721 Glenwood Drive Suite 467, Chattanooga TN 37404. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Sleep Medicine. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Tallent, Phillip G can be contacted via phone (423) 698-3423.Contact Information
Primary practice address
721 Glenwood Drive Suite 467
Chattanooga TN 37404
Phone: (423) 698-3423
Fax: (423) 698-1380
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 102492 | Minnesota |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 49063 | Minnesota |
| Allopathic & Osteopathic Physicians / Sleep Medicine | 2084S0012X | 42309 | Tennessee |
| Allopathic & Osteopathic Physicians / Sleep Medicine | 2084S0012X | 057255 | Georgia |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 42309 | Tennessee |
Profile Details
| NPI number | 1528085412 |
|---|---|
| LBN Legal business name | Tallent, Phillip G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 16th, 2006 |
| Last updated | Mar 15th, 2019 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1528085412 | NPPES |
| Tennessee | MEDICAID | 3000643 | |
| Tennessee | MEDICAID | 036992000 |
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