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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861486839 NPPES
Tennessee Other 4088202 BLUE CROSS BLUE SHIELD
Tennessee MEDICAID 3076991 BLUE CROSS BLUE SHIELD

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