East Tennessee Anesthesia Providers, Pc

LBN: East Tennessee Anesthesia Providers, Pc
East Tennessee Anesthesia Providers, Pc is an health care organization with primary practice located at 10461 Wallace Alley St , Kingsport TN 37663-3936. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. East Tennessee Anesthesia Providers, Pc can be contacted via phone (423) 279-1400, or through Sulkowski, Viktor P via phone (423) 854-0001.

Contact Information

Primary practice address
10461 Wallace Alley St Kingsport TN 37663-3936
Phone: (423) 279-1400
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Sulkowski, Viktor P Doctor of Medicine (MD)
Phone: (423) 854-0001

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MD0000010318 Tennessee

Profile Details

NPI number 1669584991
LBN Legal business name East Tennessee Anesthesia Providers, Pc
DBA Doing business as
Authorized official Sulkowski, Viktor P Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 31st, 2006
Last updated Oct 21st, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669584991 NPPES
Tennessee MEDICAID 3379190
Tennessee Other 4051152
Tennessee Other 4051167

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