Gresham, Jill Cole

Gresham, Jill Cole is an individual health care provider with primary practice located at 9430 Park West Blvd Suite 330, Knoxville TN 37923-4200. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Gresham, Jill Cole can be contacted via phone (865) 693-6065.

Contact Information

Primary practice address
9430 Park West Blvd Suite 330 Knoxville TN 37923-4200
Phone: (865) 693-6065
Fax: (865) 531-6325
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 1416 Tennessee

Profile Details

NPI number 1336395961
LBN Legal business name Gresham, Jill Cole
Credentials AUDIOLOGIST
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 14th, 2008
Last updated Apr 5th, 2017 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336395961 NPPES
Tennessee MEDICAID Q027061

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