Eason, Martin Phan

Eason, Martin Phan is an sole proprietor health care provider with primary practice located at 3114 Browns Mill Rd , Johnson City TN 37604-1417. He recently has only one registered license in Allopathic & Osteopathic Physicians / Addiction Medicine, which is considered as his primary health care specialty. Eason, Martin Phan can be contacted via phone (423) 631-0432.

Contact Information

Primary practice address
3114 Browns Mill Rd Johnson City TN 37604-1417
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 207LA0401X MD0000040649 Tennessee
Allopathic & Osteopathic Physicians / Addiction Medicine 207LA0401X 0101244335 Virginia

Profile Details

NPI number 1356699433
LBN Legal business name Eason, Martin Phan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 21st, 2012
Last updated Aug 21st, 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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