Crabtree, John Dennie
Crabtree, John Dennie is an sole proprietor health care provider with primary practice located at 1750 Cedar Ln Ste 100, Tullahoma TN 37388-4760. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Crabtree, John Dennie can be contacted via phone (931) 455-7779.Contact Information
Primary practice address
1750 Cedar Ln Ste 100
Tullahoma TN 37388-4760
Phone: (931) 455-7779
Fax: (931) 454-2376
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | MD023887 | Tennessee |
Profile Details
| NPI number | 1053314427 |
|---|---|
| LBN Legal business name | Crabtree, John Dennie |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 31st, 2005 |
| Last updated | May 18th, 2023 - about 3 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 | 1053314427 | NPPES |
| Tennessee | Other | 621735607 | TRICARE |
| Tennessee | Other | 4400031002 | TRICARE |
| Tennessee | Other | 020040539 | TRICARE |
| Tennessee | Other | 3092513 | TRICARE |
| Tennessee | MEDICAID | 3092513 | TRICARE |
| Tennessee | Other | 1740322 | TRICARE |
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