Decarlo, Alan N

Decarlo, Alan N is an individual health care provider with primary practice located at 9330 Park West Blvd Suite 202, Knoxville TN 37923-4308. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Decarlo, Alan N can be contacted via phone (865) 691-4850.

Contact Information

Primary practice address
9330 Park West Blvd Suite 202 Knoxville TN 37923-4308
Phone: (865) 691-4850
Fax: (865) 694-8018
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 41559 Tennessee

Profile Details

NPI number 1144280918
LBN Legal business name Decarlo, Alan N
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 25th, 2006
Last updated Dec 9th, 2010 - about 16 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 1144280918 NPPES
Tennessee MEDICAID 3001414
Tennessee MEDICAID 00624906

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