Aderhold, William James

Aderhold, William James is an individual health care provider with primary practice located at 105 Gay St , Erwin TN 37650. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Aderhold, William James can be contacted via phone (423) 743-6141.

Contact Information

Primary practice address
105 Gay St Erwin TN 37650
Phone: (423) 743-6141
Fax: (423) 743-1083
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1667 Tennessee

Profile Details

NPI number 1003975707
LBN Legal business name Aderhold, William James
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 8th, 2006
Last updated Mar 7th, 2023 - 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 1003975707 NPPES
Tennessee MEDICAID 1510917
Tennessee Other 11914419

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