Jefferies, Julius Melvin

Jefferies, Julius Melvin is an individual health care provider with primary practice located at 5302 Ball Camp Pike , Knoxville TN 37921-3234. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Jefferies, Julius Melvin can be contacted via phone (865) 541-6958.

Contact Information

Primary practice address
5302 Ball Camp Pike Knoxville TN 37921-3234
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1790045649
LBN Legal business name Jefferies, Julius Melvin
Credentials MS.C-GC
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2012
Last updated Jan 11th, 2021 - 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 1790045649 NPPES
Tennessee MEDICAID Q061251

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