Hoover, Randy W

Hoover, Randy W is an individual health care provider with primary practice located at 301 Med Tech Pkwy Ste 240, Johnson City TN 37604-2364. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Hoover, Randy W can be contacted via phone (423) 794-5520.

Contact Information

Primary practice address
301 Med Tech Pkwy Ste 240 Johnson City TN 37604-2364
Phone: (423) 794-5520
Fax: (423) 282-6940
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 37366 Tennessee

Profile Details

NPI number 1255336434
LBN Legal business name Hoover, Randy W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2005
Last updated Apr 28th, 2020 - about 4 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 1255336434 NPPES
Virginia MEDICAID 1255336434
Virginia MEDICAID 3885549

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