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Contact Information

CALEB S RAE, PA
126 POLK STREET
BENTON, TN37307
 Phone: 423-338-8995
 Fax: 423-338-8996
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for CALEB S RAE · (Male)

NPI Number 1538330485
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 03/19/2008
Last updated 03/19/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • TN License # PA1558
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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