Johnston, Chambless Rand
Johnston, Chambless Rand is an individual health care provider with primary practice located at 2408 Susannah St , Johnson City TN 37601-1732. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Johnston, Chambless Rand can be contacted via phone (423) 434-6677.Contact Information
Primary practice address
2408 Susannah St
Johnson City TN 37601-1732
Phone: (423) 434-6677
Fax: (423) 461-0000
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 45404 | Tennessee |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 0101246390 | Virginia |
Profile Details
| NPI number | 1790972628 |
|---|---|
| LBN Legal business name | Johnston, Chambless Rand |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 25th, 2007 |
| Last updated | Sep 18th, 2023 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790972628 | NPPES |
| North Carolina | MEDICAID | 1790972628 | |
| North Carolina | MEDICAID | 1528827 | |
| North Carolina | Other | P01037769 | |
| North Carolina | MEDICAID | 1790972628 |
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