Secrest, Margaret R
Secrest, Margaret R is an individual health care provider with primary practice located at 6219 Vance Rd , Chattanooga TN 37421-2979. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Secrest, Margaret R can be contacted via phone (423) 553-8175.Contact Information
Primary practice address
6219 Vance Rd
Chattanooga TN 37421-2979
Phone: (423) 553-8175
Fax: (423) 553-8177
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT00000002243 | Tennessee |
Profile Details
| NPI number | 1548253230 |
|---|---|
| LBN Legal business name | Secrest, Margaret R |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 26th, 2005 |
| Last updated | May 8th, 2009 - about 16 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 | 1548253230 | NPPES |
| Tennessee | Other | 3157469 | BCBS PROVIDER # |
| Tennessee | MEDICAID | 3653366 | BCBS PROVIDER # |
| Tennessee | Other | 621829028 | BCBS PROVIDER # |
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