Diers, Paul

Diers, Paul is an individual health care provider with primary practice located at 2202 John B Dennis Hwy Suite 100, Kingsport TN 37660. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Diers, Paul can be contacted via phone (423) 245-3161.

Contact Information

Primary practice address
2202 John B Dennis Hwy Suite 100 Kingsport TN 37660
Phone: (423) 245-3161
Fax: (423) 857-8129
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA000243 Tennessee

Profile Details

NPI number 1124060140
LBN Legal business name Diers, Paul
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated May 2nd, 2012 - about 13 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 1124060140 NPPES
Tennessee Other PA000243 LICENSE
Tennessee MEDICAID 3669582 LICENSE
Tennessee MEDICAID 008929785 LICENSE

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