Holt, Paul Chase

Holt, Paul Chase is an individual health care provider with primary practice located at 414 Greenbelt Dr , Maryville TN 37804-5702. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as his primary health care specialty. Holt, Paul Chase can be contacted via phone (865) 982-0032.

Contact Information

Primary practice address
414 Greenbelt Dr Maryville TN 37804-5702
Phone: (865) 982-0032
Fax: (865) 983-4172
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 22996 Tennessee

Profile Details

NPI number 1558871608
LBN Legal business name Holt, Paul Chase
Credentials Pediatric Nurse Practitioner (PNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2017
Last updated Mar 18th, 2020 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558871608 NPPES
Tennessee MEDICAID Q048652

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