Wilson, G. Chase

Wilson, G. Chase is an individual health care provider with primary practice located at 6484 Kingston Pike , Knoxville TN 37919-4863. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Wilson, G. Chase can be contacted via phone (865) 633-0235.

Contact Information

Primary practice address
6484 Kingston Pike Knoxville TN 37919-4863
Phone: (865) 633-0235
Fax: (865) 602-7757
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 49109 Tennessee
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 49109 Tennessee

Profile Details

NPI number 1821252776
LBN Legal business name Wilson, G. Chase
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2008
Last updated Oct 12th, 2023 - about 2 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 1821252776 NPPES
Tennessee MEDICAID 1529858

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