National Provider Identifier Database

ACNE ROSACEA CLINICS
Family


Contact Information

ACNE & ROSACEA CLINICS
907 VANN DRIVE SUITE M
JACKSON, TN38305-6046
Phone: 731-668-5000
Fax: 731-668-5122
Website:
Specialty Taxonomy Code
* Family 363LF0000X

* Indicates primary specialty

NPI Profile & details for ACNE & ROSACEA CLINICS

NPI Number 1356593545
Legal business name
LBN
ACNE & ROSACEA CLINICS
Authorized official MARY BETH COX - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 10/21/2008
Last updated 10/21/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • TN License #: APN8135
  • TN Medicaid: 3906025

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.

Reviews for ACNE & ROSACEA CLINICS

There are currently no reviews for ACNE & ROSACEA CLINICS


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