Phillips, Charles Vance

Phillips, Charles Vance is an sole proprietor health care provider with primary practice located at 25 Cherokee Blvd Ste C , Chattanooga TN 37405-3838. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as his primary health care specialty. Phillips, Charles Vance can be contacted via phone (423) 475-6464.

Contact Information

Primary practice address
25 Cherokee Blvd Ste C Chattanooga TN 37405-3838
Phone: (423) 475-6464
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 9355 Tennessee

Profile Details

NPI number 1841703147
LBN Legal business name Phillips, Charles Vance
Credentials LMT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 8th, 2017
Last updated Nov 8th, 2017 - 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 1841703147 NPPES
Tennessee Other 9355 TN MASSAGE BOARD

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