Carpenter, Corey Micah

Carpenter, Corey Micah is an individual health care provider with primary practice located at 2341 Mccallie Ave Suite 402, Chattanooga TN 37404-3239. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Carpenter, Corey Micah can be contacted via phone (423) 698-3309.

Contact Information

Primary practice address
2341 Mccallie Ave Suite 402 Chattanooga TN 37404-3239
Phone: (423) 698-3309
Fax: (423) 624-6355
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X MD43390 Tennessee

Profile Details

NPI number 1932303757
LBN Legal business name Carpenter, Corey Micah
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2007
Last updated Sep 7th, 2011 - about 14 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 1932303757 NPPES
Tennessee Other 4184049 BLUE CROSS BLUE SHIELD OF TN
Tennessee Other P00636666 BLUE CROSS BLUE SHIELD OF TN
Tennessee MEDICAID 1507379 BLUE CROSS BLUE SHIELD OF TN

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