Sargent, Jeffery Dale

Sargent, Jeffery Dale is an individual health care provider with primary practice located at 1990 Holton Ave E , Big Stone Gap VA 24219-3350. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Sargent, Jeffery Dale can be contacted via phone (276) 523-3111.

Contact Information

Primary practice address
1990 Holton Ave E Big Stone Gap VA 24219-3350
Phone: (276) 523-3111
Fax: (423) 224-3258
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 0101051557 Virginia
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 0101051557 Virginia

Profile Details

NPI number 1396775532
LBN Legal business name Sargent, Jeffery Dale
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 4th, 2006
Last updated Oct 29th, 2014 - about 12 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 1396775532 NPPES
Tennessee MEDICAID 3009742
Tennessee MEDICAID 64776792

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