Marchessault, Jeffrey Alan
Marchessault, Jeffrey Alan is an individual health care provider with primary practice located at 410 N State Of Franklin Rd Ste 140 , Johnson City TN 37604-6972. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Hand Surgery. Allopathic & Osteopathic Physicians / Hand Surgery is his primary health care specialty. Marchessault, Jeffrey Alan can be contacted via phone (423) 431-2460.Contact Information
Primary practice address
410 N State Of Franklin Rd Ste 140
Johnson City TN 37604-6972
Phone: (423) 431-2460
Fax: (423) 431-2456
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 48121 | Tennessee |
| Allopathic & Osteopathic Physicians / Hand Surgery | 207XS0106X | 48121 | Tennessee |
Profile Details
| NPI number | 1134114333 |
|---|---|
| LBN Legal business name | Marchessault, Jeffrey Alan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 14th, 2005 |
| Last updated | Aug 1st, 2022 - about 4 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 | 1134114333 | NPPES |
| Virginia | MEDICAID | 1134114333 | |
| Virginia | MEDICAID | 1528664 | |
| Virginia | Other | 48121 |
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