Philippose, Jay M
Philippose, Jay M is an sole proprietor health care provider with primary practice located at 725 Glenwood Dr Memorial Medical Bldg E Suite 488-E, Chattanooga TN 37404-1163. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Philippose, Jay M can be contacted via phone (423) 697-0621.Contact Information
Primary practice address
725 Glenwood Dr Memorial Medical Bldg E Suite 488-E
Chattanooga TN 37404-1163
Phone: (423) 697-0621
Fax: (423) 622-8716
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 37835 | Tennessee |
Profile Details
| NPI number | 1992709364 |
|---|---|
| LBN Legal business name | Philippose, Jay M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 13th, 2005 |
| Last updated | Nov 29th, 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 | 1992709364 | NPPES |
| Tennessee | Other | 37835 | LICENSE |
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