Vollberg, Carlton Mark

Vollberg, Carlton Mark is an sole proprietor health care provider with primary practice located at 1608 Gunbarrel Rd Suite 102, Chattanooga TN 37421-7197. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Vollberg, Carlton Mark can be contacted via phone (423) 296-0382.

Contact Information

Primary practice address
1608 Gunbarrel Rd Suite 102 Chattanooga TN 37421-7197
Phone: (423) 296-0382
Fax: (423) 296-0383
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X D01391 Tennessee

Profile Details

NPI number 1730178450
LBN Legal business name Vollberg, Carlton Mark
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 14th, 2005
Last updated Oct 24th, 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 1730178450 NPPES
Tennessee Other 4134244 BLUE CROSS

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