Easterly, Jeffery

Easterly, Jeffery is an individual health care provider with primary practice located at 129 Montgomery Ln , Maryville TN 37803-5649. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Easterly, Jeffery can be contacted via phone (865) 681-1224.

Contact Information

Primary practice address
129 Montgomery Ln Maryville TN 37803-5649
Phone: (865) 681-1224
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 34802 Tennessee

Profile Details

NPI number 1134165178
LBN Legal business name Easterly, Jeffery
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2006
Last updated Mar 24th, 2009 - 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 1134165178 NPPES
Tennessee Other P00238548 RR MEDICARE PIN
Tennessee MEDICAID 3866200 RR MEDICARE PIN

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