Harkleroad, Alfred

Harkleroad, Alfred is an individual health care provider with primary practice located at 240 Medical Park Blvd Ste 3800, Bristol TN 37620-7351. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Harkleroad, Alfred can be contacted via phone (423) 990-2400.

Contact Information

Primary practice address
240 Medical Park Blvd Ste 3800 Bristol TN 37620-7351
Phone: (423) 990-2400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD 12818 Tennessee

Profile Details

NPI number 1881698561
LBN Legal business name Harkleroad, Alfred
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2005
Last updated Sep 18th, 2009 - about 15 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 1881698561 NPPES
Tennessee MEDICAID 3189597
Tennessee MEDICAID 005618509
Tennessee MEDICAID C06181

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