Brewer Carr, Teena
Brewer Carr, Teena is an individual health care provider with primary practice located at 2108E 3Rd St 100 , Chattanooga TN 37404-2623. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Brewer Carr, Teena can be contacted via phone (423) 267-0466.Contact Information
Primary practice address
2108E 3Rd St 100
Chattanooga TN 37404-2623
Phone: (423) 267-0466
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 5572 | Tennessee |
Profile Details
| NPI number | 1609860667 |
|---|---|
| LBN Legal business name | Brewer Carr, Teena |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 7th, 2005 |
| Last updated | Feb 2nd, 2017 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609860667 | NPPES |
| Other | 500029420 | RR MEDICARE | |
| Other | 257759732A | RR MEDICARE | |
| Other | TN0179 | RR MEDICARE | |
| Other | 4057881 | RR MEDICARE | |
| MEDICAID | Q002600 | RR MEDICARE |
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