Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2086S0105X | Surgery of the Hand | 36502 | TN |
Y | 2086S0122X | Plastic and Reconstructive Surgery | 36502 | TN |
NPI | 1073589057 |
---|---|
Provider Name | Dr. Jason Paul Rehm |
First Address | Chattanooga, TN 37403-2136 |
Second Address | Chattanooga, TN 37403-2136 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/02/2006 |
Last Update Date | 03/03/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1114640001 | PALMETTO DME GROUP # (01) | TN |
1300169 | UHC - TENNESSEE (01) | TN |
1300195 | UHC - GEORGIA (01) | GA |
4082372 | BCBS INSURANCE (01) | TN |
52150507002 | BCBS GEORGIA (01) | GA |
GA0104 | JOHN DEERE INSURANCE (01) | GA |
I08278 | (02) | |
TN0134 | JOHN DEERE INSURANCE (01) | TN |