Kauzlarich, Michael P

Kauzlarich, Michael P is an individual health care provider with primary practice located at 444 Clinchfield St Ste 2700 , Kingsport TN 37660-3858. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Kauzlarich, Michael P can be contacted via phone (423) 230-2700.

Contact Information

Primary practice address
444 Clinchfield St Ste 2700 Kingsport TN 37660-3858
Phone: (423) 230-2700
Fax: (423) 230-2710
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 1438 Tennessee
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 1438 Tennessee

Profile Details

NPI number 1477539542
LBN Legal business name Kauzlarich, Michael P
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 20th, 2005
Last updated Dec 5th, 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 1477539542 NPPES
Tennessee Other 4274358 BLUE CROSS BLUE SHIELD
Tennessee MEDICAID 010312922 BLUE CROSS BLUE SHIELD
Tennessee MEDICAID 1508895 BLUE CROSS BLUE SHIELD

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