Dulebohn, Scott C

Dulebohn, Scott C is an individual health care provider with primary practice located at 410 N State Of Franklin Rd Suite 120, Johnson City TN 37604-6971. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Dulebohn, Scott C can be contacted via phone (423) 431-2350.

Contact Information

Primary practice address
410 N State Of Franklin Rd Suite 120 Johnson City TN 37604-6971
Phone: (423) 431-2350
Fax: (423) 431-2372
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 40265 Minnesota
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 0101247383 Virginia
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X MTL-2023-001 Guam
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X M-2375 Guam
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X MD34821 Tennessee

Profile Details

NPI number 1528009198
LBN Legal business name Dulebohn, Scott C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2006
Last updated Apr 21st, 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 1528009198 NPPES
Tennessee MEDICAID Q003378
Tennessee MEDICAID 1528009198
Tennessee Other TN01A5
Tennessee Other 4127300
Tennessee MEDICAID 1528009198
Tennessee MEDICAID 3338931

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