Jeffries, Glenn Edward

Jeffries, Glenn Edward is an individual health care provider with primary practice located at 1926 Alcoa Hwy Bldg. F, Suite 210, Knoxville TN 37920-1545. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Jeffries, Glenn Edward can be contacted via phone (865) 546-2663.

Contact Information

Primary practice address
1926 Alcoa Hwy Bldg. F, Suite 210 Knoxville TN 37920-1545
Phone: (865) 546-2663
Fax: (865) 546-9047
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X MD9044 Tennessee

Profile Details

NPI number 1518934991
LBN Legal business name Jeffries, Glenn Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 3rd, 2006
Last updated Oct 25th, 2013 - about 12 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 1518934991 NPPES
Tennessee Other 100020847 TENNCARE
Tennessee Other 4537213 TENNCARE
Tennessee MEDICAID 3165599 TENNCARE
Tennessee Other TN0109 TENNCARE
Tennessee Other TN0110 TENNCARE
Tennessee Other 200029548 TENNCARE
Tennessee Other TN0178 TENNCARE
Tennessee Other 0940100 TENNCARE
Tennessee Other 3071399 TENNCARE

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