Fife, Robert D

Fife, Robert D is an individual health care provider with primary practice located at 1114 Sunset Dr Suite 4, Johnson City TN 37604-2969. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Fife, Robert D can be contacted via phone (423) 283-0776.

Contact Information

Primary practice address
1114 Sunset Dr Suite 4 Johnson City TN 37604-2969
Fax: (423) 283-0549
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X MD0000016262 Tennessee

Profile Details

NPI number 1972501831
LBN Legal business name Fife, Robert D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2005
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 1972501831 NPPES
Tennessee MEDICAID 3017557

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