Carpenter, Douglas Ray
Carpenter, Douglas Ray is an individual health care provider with primary practice located at 100 Lantana Road Suite 202, Crossville TN 38555-1903. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Carpenter, Douglas Ray can be contacted via phone (931) 484-5141.Contact Information
Primary practice address
100 Lantana Road Suite 202
Crossville TN 38555-1903
Phone: (931) 484-5141
Fax: (931) 484-5620
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD17544 | Tennessee |
Profile Details
| NPI number | 1093818635 |
|---|---|
| LBN Legal business name | Carpenter, Douglas Ray |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 7th, 2006 |
| Last updated | Jun 7th, 2021 - about 4 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 | 1093818635 | NPPES |
| Other | 080059056 | RAILROAD MEDICARE | |
| MEDICAID | 3084713 | RAILROAD MEDICARE | |
| Other | 3072543 | RAILROAD MEDICARE |
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