Jack, Robert A

Jack, Robert A is an individual health care provider with primary practice located at 2010 Quail Hollow Cir , Franklin TN 37067-5967. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Jack, Robert A can be contacted via phone (615) 807-4020.

Contact Information

Primary practice address
2010 Quail Hollow Cir Franklin TN 37067-5967
Phone: (615) 807-4020
Fax: (615) 807-4022
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X MD13141 Tennessee

Profile Details

NPI number 1104804764
LBN Legal business name Jack, Robert A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2006
Last updated Aug 19th, 2009 - 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 1104804764 NPPES
Tennessee MEDICAID 3025734
Tennessee Other 35759
Tennessee Other 1588204
Tennessee Other 260010800

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