Taddese, Andrea S
Taddese, Andrea S is an sole proprietor health care provider with primary practice located at 401 S Mount Juliet Rd Ste 367 , Mount Juliet TN 37122-8544. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Taddese, Andrea S can be contacted via phone (615) 758-0874.Contact Information
Primary practice address
401 S Mount Juliet Rd Ste 367
Mount Juliet TN 37122-8544
Phone: (615) 758-0874
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1818DT | Kentucky |
| Eye and Vision Services Providers / Optometrist | 152W00000X | OD-T3032 | Tennessee |
Profile Details
| NPI number | 1063725208 |
|---|---|
| LBN Legal business name | Taddese, Andrea S |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 16th, 2010 |
| Last updated | Aug 15th, 2012 - about 14 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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