Dassow, Paul Larry

Dassow, Paul Larry is an individual health care provider with primary practice located at 1100 E 3Rd St , Chattanooga TN 37403-2241. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Adolescent Medicine, Allopathic & Osteopathic Physicians / Adult Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Dassow, Paul Larry can be contacted via phone (423) 778-9300.

Contact Information

Primary practice address
1100 E 3Rd St Chattanooga TN 37403-2241
Phone: (423) 778-9300
Fax: (423) 778-9301
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 34878 Kentucky
Allopathic & Osteopathic Physicians / Adolescent Medicine 207QA0000X 34878 Kentucky
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X 34878 Kentucky
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X 34878 Kentucky

Profile Details

NPI number 1790729572
LBN Legal business name Dassow, Paul Larry
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2006
Last updated Jun 27th, 2012 - about 14 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1790729572 NPPES
Kentucky MEDICAID 64348782

Popular Providers