Staley, Homer Lee

Staley, Homer Lee is an sole proprietor health care provider with primary practice located at 104 N Locust Ave , Lawrenceburg TN 38464-3734. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Staley, Homer Lee can be contacted via phone (931) 762-6476.

Contact Information

Primary practice address
104 N Locust Ave Lawrenceburg TN 38464-3734
Phone: (931) 762-6476
Fax: (931) 762-1841
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD008952 Tennessee

Profile Details

NPI number 1609886936
LBN Legal business name Staley, Homer Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 9th, 2006
Last updated Jul 8th, 2007 - about 19 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 1609886936 NPPES
Tennessee MEDICAID 3170118

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