Trussler, Jay Michael
Trussler, Jay Michael is an sole proprietor health care provider with primary practice located at 585 Interstate Dr Suite B, Manchester TN 37355-3191. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Ambulatory Health Care Facilities / Primary Care. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Trussler, Jay Michael can be contacted via phone (931) 728-9000.Contact Information
Primary practice address
585 Interstate Dr Suite B
Manchester TN 37355-3191
Phone: (931) 728-9000
Fax: (931) 728-2726
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 163 | Tennessee |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 1634 | Tennessee |
| Ambulatory Health Care Facilities / Primary Care | 261QP2300X | 1634 | Tennessee |
Profile Details
| NPI number | 1578590725 |
|---|---|
| LBN Legal business name | Trussler, Jay Michael |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 26th, 2006 |
| Last updated | Apr 28th, 2022 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578590725 | NPPES |
| Tennessee | MEDICAID | 37-30274 | |
| Tennessee | Other | 4105314 |
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