Homoky, Douglas E

Homoky, Douglas E is an individual health care provider with primary practice located at 135 W Ravine Rd Suite 3A, Kingsport TN 37660-3847. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Homoky, Douglas E can be contacted via phone (423) 246-6777.

Contact Information

Primary practice address
135 W Ravine Rd Suite 3A Kingsport TN 37660-3847
Fax: (423) 246-7766
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X MD031208 Tennessee

Profile Details

NPI number 1073508560
LBN Legal business name Homoky, Douglas E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2005
Last updated May 27th, 2008 - about 16 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 1073508560 NPPES
Kentucky Other 000000053389 ANTHEM
Kentucky MEDICAID 005826497 ANTHEM
Kentucky MEDICAID 1802969000 ANTHEM
Kentucky MEDICAID 3700033 ANTHEM
Kentucky MEDICAID 64712292 ANTHEM
Kentucky Other 7586071 ANTHEM
Kentucky Other 003115442 ANTHEM
Kentucky Other 100028374 ANTHEM
Kentucky Other 208758 ANTHEM
Kentucky Other TN0113 ANTHEM

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