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
Fax: (931) 454-2376
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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