Homberg, Eric J

Homberg, Eric J is an individual health care provider with primary practice located at 24 Physicians Dr , Jackson TN 38305-2070. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Homberg, Eric J can be contacted via phone (731) 661-9825.

Contact Information

Primary practice address
24 Physicians Dr Jackson TN 38305-2070
Phone: (731) 661-9825
Fax: (731) 668-6757
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 21764 Tennessee
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X MD21764 Tennessee

Profile Details

NPI number 1548304835
LBN Legal business name Homberg, Eric J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 19th, 2007
Last updated Nov 2nd, 2015 - about 11 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 1548304835 NPPES
Tennessee MEDICAID 1519639

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