Stoddard, Brian

Stoddard, Brian is an individual health care provider with primary practice located at 1635 Chestnut St , Chattanooga TN 37408-1024. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Stoddard, Brian can be contacted via phone (423) 400-7730.

Contact Information

Primary practice address
1635 Chestnut St Chattanooga TN 37408-1024
Phone: (423) 400-7730
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 2849 Tennessee

Profile Details

NPI number 1730578824
LBN Legal business name Stoddard, Brian
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 13th, 2015
Last updated Dec 23rd, 2015 - about 11 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 1730578824 NPPES
Tennessee MEDICAID Q017946

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