Brakebill, Larry C

Brakebill, Larry C is an individual health care provider with primary practice located at 7744 Conner Road , Powell TN 37849-3568. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Brakebill, Larry C can be contacted via phone (865) 546-9751.

Contact Information

Primary practice address
7744 Conner Road Powell TN 37849-3568
Phone: (865) 546-9751
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 15780 Tennessee

Profile Details

NPI number 1932141413
LBN Legal business name Brakebill, Larry C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2006
Last updated Oct 10th, 2016 - about 8 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 1932141413 NPPES
Tennessee Other 110098570 RR MEDICARE
Tennessee MEDICAID 3824902 RR MEDICARE

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