Individual
MR. JOSEPH A. TROMBLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
115 WINWOOD DR, SUITE 105, LEBANON, TN 37087-1340
(615) 444-4126
(855) 785-2890
Mailing address
115 WINWOOD DR, SUITE 105, LEBANON, TN 37087-1340
(615) 444-4126
(855) 785-2890
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA0000000627
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1508801
—
TN
01
—
3284468
UNITED HEALTHCARE
TN
01
—
4326617
BCBS OF TN
TN
01
—
620842749
HUMANA
TN
01
—
P01275147
R/R MEDICARE
TN
Enumeration date
01/03/2007
Last updated
02/13/2017
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