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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 6 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 1316941230 NPPES
Tennessee MEDICAID 3403675

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