Nebben Physical Medicine, Llc | |
282 Clear Sky Ct Clarksville TN 37043-5653 | |
(931) 647-1199 | |
(931) 647-7010 |
Full Name | Nebben Physical Medicine, Llc |
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Speciality | General Practice |
Location | 282 Clear Sky Ct, Clarksville, Tennessee |
Authorized Official Name and Position | Loren Nebben (OWNER) |
Authorized Official Contact | 9316471199 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Nebben Physical Medicine, Llc 282 Clear Sky Ct Clarksville TN 37043-5653 Ph: (931) 647-1199 | Nebben Physical Medicine, Llc 282 Clear Sky Ct Clarksville TN 37043-5653 Ph: (931) 647-1199 |
NPI Number | 1114317260 |
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Provider Enumeration Date | 01/28/2015 |
Last Update Date | 09/28/2015 |
Medicare PECOS PAC ID | 1355654815 |
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Medicare Enrollment ID | O20150714000264 |
Identifier | Type | State | Issuer |
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1114317260 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208D00000X | General Practice | 6465 (Tennessee) | Primary |
Provider Name | John B Bassel |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1346235629 PECOS PAC ID: 0345294773 Enrollment ID: I20050309000365 |
Provider Name | Loren W Nebben |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1942283650 PECOS PAC ID: 8628078193 Enrollment ID: I20070105000483 |
Provider Name | Gary A Smith |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1225028897 PECOS PAC ID: 5799819066 Enrollment ID: I20230731000822 |
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