Massey, Samuel O

Massey, Samuel O is an sole proprietor health care provider with primary practice located at 1301 Sunset Dr Ste 3, Johnson City TN 37604-7906. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Massey, Samuel O can be contacted via phone (423) 926-4966.

Contact Information

Primary practice address
1301 Sunset Dr Ste 3 Johnson City TN 37604-7906
Phone: (423) 926-4966
Fax: (423) 926-1823
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 31318 Tennessee

Profile Details

NPI number 1912956277
LBN Legal business name Massey, Samuel O
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 6th, 2006
Last updated Feb 16th, 2017 - about 7 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 1912956277 NPPES
Tennessee MEDICAID 3840825
Tennessee MEDICAID Q007699
Tennessee MEDICAID 1912956277
Tennessee Other 300104374
Tennessee Other 64017064
Tennessee Other 89063JF
Tennessee Other 7222238
Tennessee Other 3125936
Tennessee Other 100026452

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