Fore, Edward Johnson

Fore, Edward Johnson is an individual health care provider with primary practice located at 105 W Stone Dr Suite 4A, Kingsport TN 37660-3256. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Fore, Edward Johnson can be contacted via phone (423) 392-6265.

Contact Information

Primary practice address
105 W Stone Dr Suite 4A Kingsport TN 37660-3256
Phone: (423) 392-6265
Fax: (423) 392-6272
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD0000026800 Tennessee
Allopathic & Osteopathic Physicians / Surgery 208600000X MD26800 Tennessee

Profile Details

NPI number 1346221157
LBN Legal business name Fore, Edward Johnson
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2005
Last updated Mar 15th, 2018 - about 7 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 1346221157 NPPES
Virginia MEDICAID 1346221157
Virginia MEDICAID 3700364
Virginia MEDICAID 3826258

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