National Provider Identifier Database

CLARKSVILLE PHYSICIAN SERVICES LLC
Rural Health


Contact Information

CLARKSVILLE PHYSICIAN SERVICES, LLC
133 DR ROBERT H LEE ROAD
DOVER, TN37058-3750
Phone: 931-232-5141
Fax: 931-232-3905
Website:
Specialty Taxonomy Code
* Rural Health 261QR1300X

* Indicates primary specialty

NPI Profile & details for CLARKSVILLE PHYSICIAN SERVICES, LLC

NPI Number 1992077077
Legal business name
LBN
CLARKSVILLE PHYSICIAN SERVICES, LLC
Authorized official WENDY MONACI - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 02/03/2012
Last updated 02/03/2026 - About 4 months ago
Sole proprietor1 Not specified
Identifiers
  • TN Other: 44-8914 TN-MEDICARE PART 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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