Sherbak, Jan F
Sherbak, Jan F is an sole proprietor health care provider with primary practice located at 3023 Broad St , Chattanooga TN 37408-3075. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Sherbak, Jan F can be contacted via phone (423) 752-5207.Contact Information
Primary practice address
3023 Broad St
Chattanooga TN 37408-3075
Phone: (423) 752-5207
Fax: (423) 752-5299
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | P02400 | Tennessee |
Profile Details
| NPI number | 1801948849 |
|---|---|
| LBN Legal business name | Sherbak, Jan F |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 18th, 2007 |
| Last updated | Apr 5th, 2011 - about 15 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 | 1801948849 | NPPES |
| Tennessee | Other | 3164854 | BLUE CROSS BLUE SHIELD |
| Tennessee | Other | 455336000 | BLUE CROSS BLUE SHIELD |
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