Johns, Brent Alan
Johns, Brent Alan is an individual health care provider with primary practice located at 325 West Broadway , Maryville TN 37801-4707. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Johns, Brent Alan can be contacted via phone (865) 982-1768.Contact Information
Primary practice address
325 West Broadway
Maryville TN 37801-4707
Phone: (865) 982-1768
Fax: (865) 983-3519
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 660 | Tennessee |
Profile Details
| NPI number | 1790861110 |
|---|---|
| LBN Legal business name | Johns, Brent Alan |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 27th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790861110 | NPPES |
| Tennessee | MEDICAID | 3675063 |
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