Burrell, John S
Burrell, John S is an individual health care provider with primary practice located at 130 Independence Ln , La Follette TN 37766-3031. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Burrell, John S can be contacted via phone (423) 562-1705.Contact Information
Primary practice address
130 Independence Ln
La Follette TN 37766-3031
Phone: (423) 562-1705
Fax: (423) 566-3718
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | MD0000004016 | Tennessee |
Profile Details
| NPI number | 1528062197 |
|---|---|
| LBN Legal business name | Burrell, John S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 10th, 2005 |
| Last updated | Jun 18th, 2012 - about 12 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 | 1528062197 | NPPES |
| Tennessee | MEDICAID | 3099443 |
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