Huffaker, Roland Keith

Huffaker, Roland Keith is an individual health care provider with primary practice located at 1319 Sunset Dr Suite 103, Johnson City TN 37604. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery, Allopathic & Osteopathic Physicians / Gynecology. Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery is his primary health care specialty. Huffaker, Roland Keith can be contacted via phone (423) 439-7246.

Contact Information

Primary practice address
1319 Sunset Dr Suite 103 Johnson City TN 37604
Phone: (423) 439-7246
Fax: (423) 282-4698
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery 207VF0040X MD44928 Tennessee
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X MD44928 Tennessee

Profile Details

NPI number 1881608693
LBN Legal business name Huffaker, Roland Keith
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2006
Last updated Jan 18th, 2024 - about 8 months 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 1881608693 NPPES
Tennessee MEDICAID 1514562
Tennessee Other 3714470

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