Wenger, Eston K.

Wenger, Eston K. is an individual health care provider with primary practice located at 2253 Chambliss Ave Nw Ste 100 , Cleveland TN 37311-3861. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Wenger, Eston K. can be contacted via phone (423) 472-5423.

Contact Information

Primary practice address
2253 Chambliss Ave Nw Ste 100 Cleveland TN 37311-3861
Phone: (423) 472-5423
Fax: (423) 476-5523
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 42393 Tennessee

Profile Details

NPI number 1871659359
LBN Legal business name Wenger, Eston K.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 29th, 2006
Last updated Jul 29th, 2019 - about 7 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 1871659359 NPPES
Tennessee MEDICAID 3000092

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