Burnett, Charlene N

Burnett, Charlene N is an individual health care provider with primary practice located at 214 Carriage House Dr , Jackson TN 38305-3903. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Burnett, Charlene N can be contacted via phone (731) 668-4881.

Contact Information

Primary practice address
214 Carriage House Dr Jackson TN 38305-3903
Phone: (731) 668-4881
Fax: (731) 668-5705
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X T0D886 Tennessee

Profile Details

NPI number 1114927761
LBN Legal business name Burnett, Charlene N
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2005
Last updated Dec 3rd, 2010 - about 16 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 1114927761 NPPES
Tennessee Other 3044859 BCBS

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