Feaster, Samuel H

Feaster, Samuel H is an individual health care provider with primary practice located at 2001 Laurel Ave Suite N304, Knoxville TN 37916-1810. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neuroradiology, which is considered as his primary health care specialty. Feaster, Samuel H can be contacted via phone (865) 546-9484.

Contact Information

Primary practice address
2001 Laurel Ave Suite N304 Knoxville TN 37916-1810
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X MD21546 Tennessee

Profile Details

NPI number 1043280274
LBN Legal business name Feaster, Samuel H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2006
Last updated Jul 8th, 2007 - about 17 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 1043280274 NPPES
Tennessee MEDICAID 3372353

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