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IN CHARGE MEDICAL PROFESSIONALS TNPC NPI 1265954424


NPI Information

NPI: 1265954424
Provider Name: IN CHARGE MEDICAL PROFESSIONALS TN,PC
Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
709 WALNUT ST
CHATTANOOGA, TN
ZIP 37402
Phone: (414) 312-5159
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IN CHARGE MEDICAL PROFESSIONALS TN,PC is an internal medicine in Chattanooga, TN. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. IN CHARGE MEDICAL PROFESSIONALS TN,PC NPI is 1265954424. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

709 WALNUT ST
CHATTANOOGA, TN
ZIP 37402
Phone: (414) 312-5159
Fax: (888) 724-0875

The provider's authorized official is Jodi Czernejewski .
The authorized official title is Coo and has the following contact phone number (262) 510-6350.

The enumeration date for this NPI number is 7/10/2017 and was last updated on 9/11/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RP1001XInternal MedicinePulmonary DiseaseNo
2207R00000XInternal MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1300015507MEDICAIDINDIANA
2300015508MEDICAIDINDIANA
3300014452MEDICAIDINDIANA
4300015506MEDICAIDINDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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