Emberesh, Myesa H
Emberesh, Myesa H is an individual health care provider with primary practice located at 400 N. State Of Franklin Road St. Jude'S Tri-Cities Affiliate, Johnson City TN 37604. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology. Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology is her primary health care specialty. Emberesh, Myesa H can be contacted via phone (423) 431-3950.Contact Information
Primary practice address
400 N. State Of Franklin Road St. Jude'S Tri-Cities Affiliate
Johnson City TN 37604
Phone: (423) 431-3950
Fax: (423) 431-3958
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology | 2080P0207X | MD61093 | Tennessee |
Profile Details
| NPI number | 1306251269 |
|---|---|
| LBN Legal business name | Emberesh, Myesa H |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 29th, 2014 |
| Last updated | Jul 31st, 2020 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306251269 | NPPES |
| New York | MEDICAID | 1306251269 |
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