Lodge, Jeffrey Sands

Lodge, Jeffrey Sands is an individual health care provider with primary practice located at 1804 Williamson Ct Suite 208, Brentwood TN 37027-8170. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Lodge, Jeffrey Sands can be contacted via phone (615) 690-6600.

Contact Information

Primary practice address
1804 Williamson Ct Suite 208 Brentwood TN 37027-8170
Phone: (615) 690-6600
Fax: (615) 690-6604
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X MD0000026575 Tennessee

Profile Details

NPI number 1407931504
LBN Legal business name Lodge, Jeffrey Sands
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2006
Last updated Jun 1st, 2011 - about 15 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 1407931504 NPPES
Tennessee Other 4096252 TENNCARE SELECT
Tennessee Other 4096252 TENNCARE SELECT

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