Trussler, Jay Michael

Trussler, Jay Michael is an sole proprietor health care provider with primary practice located at 585 Interstate Dr Suite B, Manchester TN 37355-3191. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Ambulatory Health Care Facilities / Primary Care. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Trussler, Jay Michael can be contacted via phone (931) 728-9000.

Contact Information

Primary practice address
585 Interstate Dr Suite B Manchester TN 37355-3191
Phone: (931) 728-9000
Fax: (931) 728-2726
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 163 Tennessee
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 1634 Tennessee
Ambulatory Health Care Facilities / Primary Care 261QP2300X 1634 Tennessee

Profile Details

NPI number 1578590725
LBN Legal business name Trussler, Jay Michael
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 26th, 2006
Last updated Apr 28th, 2022 - about 3 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 1578590725 NPPES
Tennessee MEDICAID 37-30274
Tennessee Other 4105314

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