Gupton, Henry Lewis
Gupton, Henry Lewis is an individual health care provider with primary practice located at 110 Executive Park Dr , Clinton TN 37716-6876. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Gupton, Henry Lewis can be contacted via phone (865) 494-9241.Contact Information
Primary practice address
110 Executive Park Dr
Clinton TN 37716-6876
Phone: (865) 494-9241
Fax: (865) 494-0895
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD0000019752 | Tennessee |
Profile Details
| NPI number | 1861476152 |
|---|---|
| LBN Legal business name | Gupton, Henry Lewis |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 1st, 2005 |
| Last updated | Aug 13th, 2013 - about 12 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 | 1861476152 | NPPES |
| Tennessee | MEDICAID | 3045736 |
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