Coursey, John W

Coursey, John W is an individual health care provider with primary practice located at 1 Medical Park Blvd , Bristol TN 37620. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Coursey, John W can be contacted via phone (423) 844-1121.

Contact Information

Primary practice address
1 Medical Park Blvd Bristol TN 37620
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 30558 South Carolina
Allopathic & Osteopathic Physicians / Urology 208800000X 059056 Georgia

Profile Details

NPI number 1114998507
LBN Legal business name Coursey, John W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 1st, 2006
Last updated Sep 25th, 2023 - about last year

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 1114998507 NPPES
Georgia MEDICAID 003100762J
Georgia MEDICAID 3723229

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