Gatlin, Jeremy Wayne
Gatlin, Jeremy Wayne is an sole proprietor health care provider with primary practice located at 1800 Saint John Ave , Dyersburg TN 38024-2116. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Gatlin, Jeremy Wayne can be contacted via phone (731) 288-9628.Contact Information
Primary practice address
1800 Saint John Ave
Dyersburg TN 38024-2116
Phone: (731) 288-9628
Fax: (731) 288-9653
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 1900 | Tennessee |
Profile Details
| NPI number | 1952346306 |
|---|---|
| LBN Legal business name | Gatlin, Jeremy Wayne |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 19th, 2006 |
| Last updated | Sep 19th, 2013 - about 13 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 | 1952346306 | NPPES |
| Tennessee | Other | 7518458 | AETNA |
| Tennessee | Other | 4054385 | AETNA |
| Tennessee | Other | 143272 | AETNA |
| Tennessee | MEDICAID | 3972980 | AETNA |
| Tennessee | Other | 4158534 | AETNA |
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