Vertrees, Thomas Virgil

Vertrees, Thomas Virgil is an individual health care provider with primary practice located at 704 Cadet Ct , Lebanon TN 37087. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Vertrees, Thomas Virgil can be contacted via phone (615) 784-4056.

Contact Information

Primary practice address
704 Cadet Ct Lebanon TN 37087
Phone: (615) 784-4056
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 2447 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 19298 Tennessee

Profile Details

NPI number 1356524839
LBN Legal business name Vertrees, Thomas Virgil
Credentials MSN, APN, PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 7th, 2007
Last updated Dec 13th, 2018 - about 6 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 1356524839 NPPES
Tennessee MEDICAID 1514760
Tennessee Other 774564000
Tennessee MEDICAID Q010777

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