National Provider Identifier Database

MOSE AND GARRISON SISKIN MEMORIAL FOUNDATION INC
Specialist

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.


Contact Information

MOSE AND GARRISON SISKIN MEMORIAL FOUNDATION, INC.
1101 CARTER ST
CHATTANOOGA, TN37402-5017
Phone: 423-490-7710
Fax: 423-490-7750
Website:
Specialty Taxonomy Code
* Specialist 174400000X
Developmental - Behavioral Pediatrics 2080P0006X
Nurse Practitioner 363L00000X
Physician Assistant 363A00000X

* Indicates primary specialty

NPI Profile & details for MOSE AND GARRISON SISKIN MEMORIAL FOUNDATION, INC.

NPI Number 1902132509
Legal business name
LBN
MOSE AND GARRISON SISKIN MEMORIAL FOUNDATION, INC.
Authorized official STEPHANIE COOPER-WILKES - (DIRECTOR HEALTHCARE ADMINISTRATION)
Entity Organization
Organization subpart Yes
Enumeration date 11/02/2009
Last updated 10/25/2019 - About 7 years ago
Sole proprietor1 Not specified
Identifiers
  • GA Medicaid: 003136978A
  • TN Medicaid: 1527698

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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