Individual
MR. JON ALAN SIMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
118 BROWN AVE, STE 103, CROSSVILLE, TN 38555-7739
(931) 484-8861
(931) 456-1319
Mailing address
118 BROWN AVE, STE 103, CROSSVILLE, TN 38555-7739
(931) 484-8861
(931) 456-1319
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
020258
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020258
STATE LICENSE NUMBER
TN
01
—
0552370001
DME
TN
01
—
1295815850
DME
TN
01
—
200006546
ACS NUMBER
TN
05
—
3051154
—
TN
01
—
3106523
BCBS
—
05
—
4084528
—
TN
01
—
621419737
TAX ID
TN
01
—
CL3039
RAILROAD MEDICARE
TN
Enumeration date
10/17/2006
Last updated
03/07/2023
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