Ettien, James T

Ettien, James T is an individual health care provider with primary practice located at 397 Wallace Rd Suite C414, Nashville TN 37211-8022. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Ettien, James T can be contacted via phone (615) 781-9499.

Contact Information

Primary practice address
397 Wallace Rd Suite C414 Nashville TN 37211-8022
Phone: (615) 781-9499
Fax: (615) 781-3882
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 41425 Tennessee

Profile Details

NPI number 1275629966
LBN Legal business name Ettien, James T
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2006
Last updated Apr 24th, 2019 - about 7 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 1275629966 NPPES
Tennessee MEDICAID 3833106

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