Littlejohn, Jim R
Littlejohn, Jim R is an individual health care provider with primary practice located at 822 Broad St , Kingsport TN 37660-3718. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Littlejohn, Jim R can be contacted via phone (423) 246-6251.Contact Information
Primary practice address
822 Broad St
Kingsport TN 37660-3718
Phone: (423) 246-6251
Fax: (423) 246-7230
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 29347 | Tennessee |
Profile Details
| NPI number | 1225036841 |
|---|---|
| LBN Legal business name | Littlejohn, Jim R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 8th, 2005 |
| Last updated | Nov 25th, 2014 - about 10 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 | 1225036841 | NPPES |
| Tennessee | MEDICAID | 3371556 |
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