Chavez, Jack J

Chavez, Jack J is an individual health care provider with primary practice located at 1924 Alcoa Hwy Box U109, Knoxville TN 37920-1511. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Chavez, Jack J can be contacted via phone (865) 544-9220.

Contact Information

Primary practice address
1924 Alcoa Hwy Box U109 Knoxville TN 37920-1511
Phone: (865) 544-9220
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 33812 Tennessee

Profile Details

NPI number 1851392021
LBN Legal business name Chavez, Jack J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2005
Last updated Jul 11th, 2007 - about 19 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 1851392021 NPPES
Tennessee Other 3141237 BLUE CROSS
Tennessee MEDICAID 3847020 BLUE CROSS
Tennessee MEDICAID 64005481 BLUE CROSS

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