Bishop, Marilyn A

Bishop, Marilyn A is an individual health care provider with primary practice located at 200 Med Tech Pkwy Suite 108, Johnson City TN 37604-2278. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Occupational Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Occupational Medicine is her primary health care specialty. Bishop, Marilyn A can be contacted via phone (423) 915-5033.

Contact Information

Primary practice address
200 Med Tech Pkwy Suite 108 Johnson City TN 37604-2278
Phone: (423) 915-5033
Fax: (423) 952-3777
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Occupational Medicine 2083X0100X MD21539 Tennessee
Allopathic & Osteopathic Physicians / General Practice 208D00000X MD21539 Tennessee

Profile Details

NPI number 1134185739
LBN Legal business name Bishop, Marilyn A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 22nd, 2006
Last updated Jan 27th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134185739 NPPES
Tennessee Other 3074352 BCBS
Tennessee MEDICAID 1134185739 BCBS
Tennessee MEDICAID Q003169 BCBS
Tennessee MEDICAID 3062667 BCBS

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