Haney-Weaver, Jerrie Caroline

Haney-Weaver, Jerrie Caroline is an individual health care provider with primary practice located at 501 19Th Street Suite 509, Knoxville TN 37916-1853. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics, which is considered as her primary health care specialty. Haney-Weaver, Jerrie Caroline can be contacted via phone (865) 524-3208.

Contact Information

Primary practice address
501 19Th Street Suite 509 Knoxville TN 37916-1853
Phone: (865) 524-3208
Fax: (865) 522-4322
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics 207VX0000X MD40791 Tennessee
Allopathic & Osteopathic Physicians / Obstetrics 207VX0000X 40791 Tennessee

Profile Details

NPI number 1528086097
LBN Legal business name Haney-Weaver, Jerrie Caroline
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2006
Last updated Nov 8th, 2010 - about 16 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 1528086097 NPPES
Other 4131926 BLUE CROSS BLUE SHIELD
Other 1154546927 BLUE CROSS BLUE SHIELD
MEDICAID 3832868 BLUE CROSS BLUE SHIELD

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