Litchfield, Peter Michael

Litchfield, Peter Michael is an sole proprietor health care provider with primary practice located at 1019 W Oakland Ave Suite 1, Johnson City TN 37604-2357. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Litchfield, Peter Michael can be contacted via phone (423) 915-5000.

Contact Information

Primary practice address
1019 W Oakland Ave Suite 1 Johnson City TN 37604-2357
Phone: (423) 915-5000
Fax: (423) 915-5045
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 30027 Alabama
Allopathic & Osteopathic Physicians / General Practice 208D00000X 45503 Tennessee
Allopathic & Osteopathic Physicians / General Practice 208D00000X 2013-00015 North Carolina
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 065367 Georgia

Profile Details

NPI number 1134309990
LBN Legal business name Litchfield, Peter Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 9th, 2007
Last updated Feb 15th, 2017 - about 8 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 1134309990 NPPES
Tennessee MEDICAID 1516619
Tennessee MEDICAID 1134309990

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