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Contact Information

SUMMIT BONE & JOINT, PLLC
5653 FRIST BLVD
SUITE 731
HERMITAGE, TN37076
 Phone: 615-232-3838
 Fax: 615-232-3833
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
 

Sports Medicine

207XX0005X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for SUMMIT BONE JOINT PLLC · (Female)

NPI # 1891783981
Status Active
Credentials
Entity Individual
Enumeration date 10/12/2005
Last updated 03/02/2009 - About 17 years ago
Sole proprietor 1 Not specified
Identifiers
  • TN License # MD0000031901
  • TN Medicaid 1506501
  • TN Other 2638088 AETNA HMO
  • TN Other 5282039 AETNA PPO
  • TN Other 4023754 BCBS
  • TN Other 0516031005 CIGNA HMO-POS
  • TN Other 0516031006 CIGNA PPO
  • TN Other 2000043639 RAILROAD MEDICARE
  • TN Other 0940372 UNITED HEALTHCARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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