Pegram, Trey Amerson
Pegram, Trey Amerson is an sole proprietor health care provider with primary practice located at 306 Landrum Place , Clarksville TN 37043-4648. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery is his primary health care specialty. Pegram, Trey Amerson can be contacted via phone (931) 221-9544.Contact Information
Primary practice address
306 Landrum Place
Clarksville TN 37043-4648
Phone: (931) 221-9544
Fax: (931) 444-5111
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery | 207WX0200X | MD-55555 | Tennessee |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | Q2364 | Texas |
| Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery | 207WX0200X | TN-55555 | Tennessee |
Profile Details
| NPI number | 1205128352 |
|---|---|
| LBN Legal business name | Pegram, Trey Amerson |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 9th, 2011 |
| Last updated | Aug 14th, 2023 - about 3 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 | 1205128352 | NPPES |
| Tennessee | MEDICAID | Q029682 |
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