Chothmounethinh, Phaythoune

Chothmounethinh, Phaythoune is an individual health care provider with primary practice located at 114 Saundersville Rd , Hendersonville TN 37075-8967. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Chothmounethinh, Phaythoune can be contacted via phone (629) 888-5175.

Contact Information

Primary practice address
114 Saundersville Rd Hendersonville TN 37075-8967
Phone: (629) 888-5175
Fax: (629) 888-5176
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 80815 Arizona
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 46218 Tennessee

Profile Details

NPI number 1871770123
LBN Legal business name Chothmounethinh, Phaythoune
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 29th, 2008
Last updated Mar 12th, 2020 - about 4 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 1871770123 NPPES
Tennessee MEDICAID 1520506

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