National Provider Identifier Database

BH SERVICES SOUTHEAST 1 PC
Rural Health


Contact Information

BH SERVICES SOUTHEAST 1 PC
18 N CAVALIER DR
ALAMO, TN38001-6468
Phone: 731-696-4500
Fax:
Website:
Specialty Taxonomy Code
* Rural Health 261QR1300X
Nurse Practitioner 363L00000X
Physician Assistant 363A00000X

* Indicates primary specialty

NPI Profile & details for BH SERVICES SOUTHEAST 1 PC

NPI Number 1568200806
Legal business name
LBN
BH SERVICES SOUTHEAST 1 PC
Authorized official JOSEPH CRANE - (OWNER/PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 07/19/2024
Last updated 08/28/2024 - More than a year ago
Sole proprietor1 Not specified
Identifiers n/a

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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