1700223773

Everything you always wanted to know about EAST TN MEDICAL BILLING COMPANY LLC 3 BEARDEN BEHAVIORAL DR. FORTICH JAIRO but were afraid to ask.

EAST TN MEDICAL BILLING COMPANY LLC 3 BEARDEN BEHAVIORAL DR. FORTICH JAIRO

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Organization Name Other Organization Name Type Code Other Organization Name Authorized Official Prefix Authorized Official Last Name Authorized Official First Name
EAST TN MEDICAL BILLING COMPANY LLC 3 BEARDEN BEHAVIORAL DR. FORTICH JAIRO
Gender:
none
Enumeration date:
2013-05-30
Last update date:
2013-10-28
Current as of:
Is sole proprietor?:
No
Is organization subpart?:
No
In PECOS?:
No

Identifiers

identifier description issuer state

Taxonomies

Taxonomy State License Number Primary?
302F00000X Exclusive Provider Organization none none

Phone Numbers

Type Number
Mailing Address Telephone Number 8652126600
Practice Location Address Telephone Number 8652126600
Authorized Official Telephone Number 8652126600
Mailing Address Fax Number 6265441629
Practice Location Address Fax Number 6265441629

Addresses

Type Address City State Postal Country
Mailing Address 5908 TOOLE DR SUITE A KNOXVILLE TN 37919 TN
Practice Location Address 5908 TOOLE DR SUITE A KNOXVILLE TN 37919 TN

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1245356799 BURKETT, JOELLE
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1265584478 WILKINSON, SONDRA
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8848 CEDAR SPRINGS LANE TN KNOXVILLE
1538497052 MILES, TABITHA
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8848 CEDAR SPRINGS LN TN KNOXVILLE
1912275512 CATHEY, JESSICA
Individual
8848 CEDAR SPRINGS LN TN KNOXVILLE
1003155359 TENNESSEE EMERGENCY ASSOCIATES
Organization
8712 NOTTING HILL WAY TN KNOXVILLE
1104867381 FORTICH, JAIRO
Individual
5908 TOOLE DR TN KNOXVILLE
1205277977 FORTICH, DAWN
Individual
5908 TOOLE DR TN KNOXVILLE
1437568219 TRINITY MEDICAL OF KENTUCKY
Organization
8712 NOTTING HILL WAY TN KNOXVILLE
1659716934 TENNESSEE EMERGENCY ASSOCIATES
Organization
5908 TOOLE DR TN KNOXVILLE

Other NPI Records that share an address

NPI Name Address State City
1104867381 FORTICH, JAIRO
Individual
5908 TOOLE DR TN KNOXVILLE
1205277977 FORTICH, DAWN
Individual
5908 TOOLE DR TN KNOXVILLE
1659716934 TENNESSEE EMERGENCY ASSOCIATES
Organization
5908 TOOLE DR TN KNOXVILLE