Riestra, Jorge Casanova
Riestra, Jorge Casanova is an sole proprietor health care provider with primary practice located at 105 Ussery Rd , Clarksville TN 37043-4530. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Riestra, Jorge Casanova can be contacted via phone (931) 647-7321.Contact Information
Primary practice address
105 Ussery Rd
Clarksville TN 37043-4530
Phone: (931) 647-7321
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | MD 019425 | Tennessee |
Profile Details
| NPI number | 1972559219 |
|---|---|
| LBN Legal business name | Riestra, Jorge Casanova |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 26th, 2006 |
| Last updated | Aug 15th, 2013 - about 13 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 | 1972559219 | NPPES |
| Tennessee | MEDICAID | 3042254 |
Popular Providers
-
Larkins, Gary L
1824 Memorial Dr , Clarksville TN 37043 -
Bendt, Robert R.
105 Ussery Road , Clarksville TN 37043-4530 -
Mcintosh, Lisa M
2292 Dalton Dr Ste C , Clarksville TN 37043-8961 -
Barton, Stephen J
1824 Memorial Dr , Clarksville TN 37043 -
Jackson, Sonia
490 Dunlop Ln Bldg 2 , Clarksville TN 37040-5007 -
Johnston, Jennifer H
1824 Memorial Dr , Clarksville TN 37043 -
Willcox, Amy Nicole
1824 Memorial Dr , Clarksville TN 37043-4605 -
Tapia, Roberto
490 Dunlop Ln Bldg 2 , Clarksville TN 37040-5007