Gwin, John L
Gwin, John L is an sole proprietor health care provider with primary practice located at 721 Glenwood Dr Suite 553, Chattanooga TN 37404-1106. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Gwin, John L can be contacted via phone (423) 495-2640.Contact Information
Primary practice address
721 Glenwood Dr Suite 553
Chattanooga TN 37404-1106
Phone: (423) 495-2640
Fax: (423) 495-2644
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | MD24584 | Tennessee |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 24584 | Tennessee |
Profile Details
| NPI number | 1861486839 |
|---|---|
| LBN Legal business name | Gwin, John L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 7th, 2005 |
| Last updated | Mar 5th, 2010 - about 14 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 | 1861486839 | NPPES |
| Tennessee | Other | 4088202 | BLUE CROSS BLUE SHIELD |
| Tennessee | MEDICAID | 3076991 | BLUE CROSS BLUE SHIELD |
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