Engblom, James Arthur
Engblom, James Arthur is an individual health care provider with primary practice located at 90 Vermont Ave Suite 300, Oak Ridge TN 37830-6474. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Engblom, James Arthur can be contacted via phone (865) 481-2541.Contact Information
Primary practice address
90 Vermont Ave Suite 300
Oak Ridge TN 37830-6474
Phone: (865) 481-2541
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | DPM338 | Tennessee |
Profile Details
| NPI number | 1053398107 |
|---|---|
| LBN Legal business name | Engblom, James Arthur |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 29th, 2005 |
| Last updated | Jun 2nd, 2016 - about 9 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 | 1053398107 | NPPES |
| Tennessee | MEDICAID | 3351783 | |
| Tennessee | Other | 480026064 | |
| Tennessee | Other | 6035392 |
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