Tate, Jeremiah J

Tate, Jeremiah J is an individual health care provider with primary practice located at 105 Meadow View Rd Suite 4, Bristol TN 37620-1725. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic, which is considered as his primary health care specialty. Tate, Jeremiah J can be contacted via phone (423) 844-6935.

Contact Information

Primary practice address
105 Meadow View Rd Suite 4 Bristol TN 37620-1725
Phone: (423) 844-6935
Fax: (423) 844-6937
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic 2251X0800X PT0000005994 Tennessee

Profile Details

NPI number 1427382027
LBN Legal business name Tate, Jeremiah J
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2009
Last updated Jan 29th, 2010 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427382027 NPPES
Tennessee MEDICAID 103I652884

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