Sells, Tony Dale

Sells, Tony Dale is an sole proprietor health care provider with primary practice located at 330 N Oak Ave , Cookeville TN 38501-2440. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Sells, Tony Dale can be contacted via phone (931) 528-8479.

Contact Information

Primary practice address
330 N Oak Ave Cookeville TN 38501-2440
Phone: (931) 528-8479
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 00000399 Tennessee

Profile Details

NPI number 1528110897
LBN Legal business name Sells, Tony Dale
Credentials Doctor of Public Health (DPH)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 17th, 2007
Last updated Mar 7th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528110897 NPPES
Tennessee MEDICAID 3544998
Tennessee Other 4418100

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