Hatcher, Glen H

Hatcher, Glen H is an individual health care provider with primary practice located at 1301 Sunset Dr Ste 3, Johnson City TN 37604-7906. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Hatcher, Glen H can be contacted via phone (423) 926-4966.

Contact Information

Primary practice address
1301 Sunset Dr Ste 3 Johnson City TN 37604-7906
Fax: (423) 926-1823
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 26328 Tennessee

Profile Details

NPI number 1316995749
LBN Legal business name Hatcher, Glen H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2006
Last updated Jul 8th, 2007 - about 17 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 1316995749 NPPES
Tennessee Other 3116310 BCBS
Tennessee Other 89063JG BCBS
Tennessee MEDICAID 385719 BCBS
Tennessee Other 64017106 BCBS
Tennessee Other 7222211 BCBS

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