Claud, Emmitt Ray

Claud, Emmitt Ray is an individual health care provider with primary practice located at 201 Bluebird Dr , Goodlettsville TN 37072-2301. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Claud, Emmitt Ray can be contacted via phone (615) 859-7546.

Contact Information

Primary practice address
201 Bluebird Dr Goodlettsville TN 37072-2301
Phone: (615) 859-7546
Fax: (615) 851-7760
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 550 Tennessee

Profile Details

NPI number 1780614131
LBN Legal business name Claud, Emmitt Ray
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2006
Last updated Nov 16th, 2022 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780614131 NPPES
Tennessee Other 3708943 GROUP MEDICARE NUMBER

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