Theriac, Trent Jim-E

Theriac, Trent Jim-E is an sole proprietor health care provider with primary practice located at 399 E Highway 22 , Union City TN 38261-8028. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Emergency, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Theriac, Trent Jim-E can be contacted via phone (731) 592-0662.

Contact Information

Primary practice address
399 E Highway 22 Union City TN 38261-8028
Phone: (731) 592-0662
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Emergency 163WE0003X 210105 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 25562 Tennessee

Profile Details

NPI number 1134686116
LBN Legal business name Theriac, Trent Jim-E
Credentials FNP-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 26th, 2019
Last updated Apr 18th, 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.

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