Jones, Jodi Polaha
Jones, Jodi Polaha is an sole proprietor health care provider with primary practice located at 917 W Walnut St , Johnson City TN 37604-6527. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Jones, Jodi Polaha can be contacted via phone (423) 439-6464.Contact Information
Primary practice address
917 W Walnut St
Johnson City TN 37604-6527
Phone: (423) 439-6464
Fax: (423) 439-7118
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 2737 | Tennessee |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | P2737 | Tennessee |
Profile Details
| NPI number | 1841472586 |
|---|---|
| LBN Legal business name | Jones, Jodi Polaha |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 5th, 2007 |
| Last updated | Jan 18th, 2024 - about last year |
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 | 1841472586 | NPPES |
| Tennessee | MEDICAID | 1514093 |
Popular Providers
-
Abbott, Brian Vaughn
415 E Unaka Ave , Johnson City TN 37601-4030 -
Ellis, Jon B
206 Princeton Rd Suite 21, Johnson City TN 37601-2058 -
Stephens, Tedd A
2112 N Roan St Fl 6 , Johnson City TN 37601-2519 -
Gray, Steven L
119 Boone Ridge Dr Suite 201, Johnson City TN 37615-4998 -
Holland, Kerry L.
807 University Pkwy 139 Lucille Clement Hall, Johnson City TN 37614-6500 -
Simpson, Mark Theodore
119 Boone Ridge Dr Suite 201, Johnson City TN 37615 -
Beaudry, Heather L
1907 N Roan St Ste 207 , Johnson City TN 37601-3182 -
Abner, John Paul
403 N State Of Franklin Rd , Johnson City TN 37604-6034