Muse, Gregory Leonard
Muse, Gregory Leonard is an individual health care provider with primary practice located at 1100 N Jackson St , Tullahoma TN 37388-2336. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Muse, Gregory Leonard can be contacted via phone (931) 393-2020.Contact Information
Primary practice address
1100 N Jackson St
Tullahoma TN 37388-2336
Phone: (931) 393-2020
Fax: (931) 455-6501
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2008 | Tennessee |
Profile Details
| NPI number | 1861487944 |
|---|---|
| LBN Legal business name | Muse, Gregory Leonard |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 15th, 2005 |
| Last updated | May 1st, 2008 - about 18 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 | 1861487944 | NPPES |
| Tennessee | Other | 180037502 | RAILROAD MEDICARE |
| Tennessee | MEDICAID | 3942776 | RAILROAD MEDICARE |
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