Perry, Wesley Eugene

Perry, Wesley Eugene is an individual health care provider with primary practice located at 701 Med Tech Pkwy Suite 300, Johnson City TN 37604-2365. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. Perry, Wesley Eugene can be contacted via phone (423) 232-8301.

Contact Information

Primary practice address
701 Med Tech Pkwy Suite 300 Johnson City TN 37604-2365
Phone: (423) 232-8301
Fax: (423) 232-8304
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA0000000129 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA0000000129 Tennessee

Profile Details

NPI number 1124065990
LBN Legal business name Perry, Wesley Eugene
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2006
Last updated Dec 10th, 2009 - about 17 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 1124065990 NPPES
Tennessee Other 4029880 BCBS
Tennessee MEDICAID 1514417 BCBS

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