Breeding, Samuel
Breeding, Samuel is an individual health care provider with primary practice located at 105 W Stone Dr 1J, Kingsport TN 37660-3256. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Occupational Medicine. Allopathic & Osteopathic Physicians / Occupational Medicine is his primary health care specialty. Breeding, Samuel can be contacted via phone (423) 245-0166.Contact Information
Primary practice address
105 W Stone Dr 1J
Kingsport TN 37660-3256
Phone: (423) 245-0166
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 0101029932 | Virginia |
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 15549 | Tennessee |
Allopathic & Osteopathic Physicians / Occupational Medicine | 2083X0100X | MD15549 | Tennessee |
Profile Details
NPI number | 1316941230 |
---|---|
LBN Legal business name | Breeding, Samuel |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 9th, 2005 |
Last updated | Dec 30th, 2019 - about 5 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1316941230 | NPPES |
Tennessee | MEDICAID | 3403675 |
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