Carey, Jack Willard

Carey, Jack Willard is an individual health care provider with primary practice located at 1 Medical Center Blvd , Cookeville TN 38501-4294. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hospitalist, which is considered as his primary health care specialty. Carey, Jack Willard can be contacted via phone (931) 783-2770.

Contact Information

Primary practice address
1 Medical Center Blvd Cookeville TN 38501-4294
Phone: (931) 783-2770
Fax: (931) 525-1176
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 45627 Tennessee

Profile Details

NPI number 1265657951
LBN Legal business name Carey, Jack Willard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 16th, 2007
Last updated Aug 28th, 2019 - about 7 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 1265657951 NPPES
Tennessee Other 4352344 BCBS
Tennessee MEDICAID 1523209 BCBS
Tennessee MEDICAID 7100177760 BCBS

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