Macdonald, Robert Scott

Macdonald, Robert Scott is an individual health care provider with primary practice located at 914 Broad St Suite 3A, Kingsport TN 37660-3817. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Macdonald, Robert Scott can be contacted via phone (423) 247-5553.

Contact Information

Primary practice address
914 Broad St Suite 3A Kingsport TN 37660-3817
Fax: (423) 247-9254
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X MD0000014942 Tennessee

Profile Details

NPI number 1093809188
LBN Legal business name Macdonald, Robert Scott
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2006
Last updated Jul 8th, 2007 - about 17 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 1093809188 NPPES
Tennessee MEDICAID 3000957
Tennessee Other 0023714
Tennessee MEDICAID 6101372

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