Marvel, Patty M

Marvel, Patty M is an individual health care provider with primary practice located at 1821 N Washington St , Tullahoma TN 37388-2221. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Marvel, Patty M can be contacted via phone (931) 455-2005.

Contact Information

Primary practice address
1821 N Washington St Tullahoma TN 37388-2221
Phone: (931) 455-2005
Fax: (931) 455-4450
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 29709 Tennessee

Profile Details

NPI number 1174528574
LBN Legal business name Marvel, Patty M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2005
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174528574 NPPES
Tennessee Other 3088856 BLUE CROSS BLUE SHIELD
Tennessee MEDICAID 3820951 BLUE CROSS BLUE SHIELD

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