Wortham, Dale

Wortham, Dale is an individual health care provider with primary practice located at 1940 Alcoa Hwy Suite E-310, Knoxville TN 37920-2244. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Wortham, Dale can be contacted via phone (865) 544-2800.

Contact Information

Primary practice address
1940 Alcoa Hwy Suite E-310 Knoxville TN 37920-2244
Phone: (865) 544-2800
Fax: (865) 544-6812
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 25519 Tennessee
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 25519 Tennessee

Profile Details

NPI number 1235130014
LBN Legal business name Wortham, Dale
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2005
Last updated Nov 14th, 2016 - about 8 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1235130014 NPPES
Tennessee MEDICAID 3083393

Popular Providers