Trentham, Shirley D

Trentham, Shirley D is an individual health care provider with primary practice located at 201 W Springdale Ave , Knoxville TN 37917-5158. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Trentham, Shirley D can be contacted via phone (865) 637-9711.

Contact Information

Primary practice address
201 W Springdale Ave Knoxville TN 37917-5158
Phone: (865) 637-9711
Fax: (865) 637-1278
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X MD0000031650 Tennessee

Profile Details

NPI number 1700877073
LBN Legal business name Trentham, Shirley D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 4th, 2005
Last updated Dec 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700877073 NPPES
Tennessee Other 4059342 BLUE CROSS BLUE SHIELD
Tennessee MEDICAID 3845687 BLUE CROSS BLUE SHIELD

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