Bushkell, Lawrence L
Bushkell, Lawrence L is an individual health care provider with primary practice located at 2018 Western Ave , Knoxville TN 37921-5718. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Bushkell, Lawrence L can be contacted via phone (865) 544-0406.Contact Information
Primary practice address
2018 Western Ave
Knoxville TN 37921-5718
Phone: (865) 544-0406
Fax: (865) 544-0480
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery | 207ND0101X | 13438 | Tennessee |
Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 13438 | Tennessee |
Profile Details
NPI number | 1376501544 |
---|---|
LBN Legal business name | Bushkell, Lawrence L |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 3rd, 2006 |
Last updated | Dec 11th, 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 | 1376501544 | NPPES |
Tennessee | MEDICAID | 3376258 | |
Tennessee | Other | 0015500 | |
Tennessee | Other | 4034509 |
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