Oglesby, Brenda T

Oglesby, Brenda T is an individual health care provider with primary practice located at 2525 Desales Avenue , Chattanooga TN 37404. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Oglesby, Brenda T can be contacted via phone (423) 499-5655.

Contact Information

Primary practice address
2525 Desales Avenue Chattanooga TN 37404
Fax: (423) 499-8085
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X APN0000005595 Tennessee

Profile Details

NPI number 1962424234
LBN Legal business name Oglesby, Brenda T
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2006
Last updated Feb 27th, 2013 - about 9 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 1962424234 NPPES
Tennessee MEDICAID 3345995
Tennessee Other 4114023
Tennessee Other P00225213

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