Embrey, Preston Parker
Embrey, Preston Parker is an individual health care provider with primary practice located at 1718 Parr Ave Ste C , Dyersburg TN 38024-2071. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Embrey, Preston Parker can be contacted via phone (731) 286-4445.Contact Information
Primary practice address
1718 Parr Ave Ste C
Dyersburg TN 38024-2071
Phone: (731) 286-4445
Fax: (731) 286-4452
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 1768 | Tennessee |
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 1768 | Tennessee |
Profile Details
| NPI number | 1104059765 |
|---|---|
| LBN Legal business name | Embrey, Preston Parker |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 31st, 2009 |
| Last updated | Jan 22nd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104059765 | NPPES |
| Tennessee | Other | 4245228 | BCBS PA |
| Tennessee | MEDICAID | 1516451 | BCBS PA |
| Tennessee | Other | 4245266 | BCBS PA |
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