Greer, Jack Ewell
Greer, Jack Ewell is an individual health care provider with primary practice located at 901 Riverfront Parkway Suite 300, Chattanooga TN 37402-2193. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Greer, Jack Ewell can be contacted via phone (423) 698-8981.Contact Information
Primary practice address
901 Riverfront Parkway Suite 300
Chattanooga TN 37402-2193
Phone: (423) 698-8981
Fax: (423) 697-7109
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 047438 | Georgia |
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | MD0000026020 | Tennessee |
Profile Details
| NPI number | 1609875467 |
|---|---|
| LBN Legal business name | Greer, Jack Ewell |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 14th, 2005 |
| Last updated | Jun 11th, 2021 - about 5 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 | 1609875467 | NPPES |
| Georgia | MEDICAID | 00815328A | |
| Georgia | Other | 1040185 | |
| Georgia | Other | 3126040 |
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