Mcmichen, John Wayne

Mcmichen, John Wayne is an sole proprietor health care provider with primary practice located at 6108 Kingston Pike , Knoxville TN 37919-4019. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Mcmichen, John Wayne can be contacted via phone (865) 539-9299.

Contact Information

Primary practice address
6108 Kingston Pike Knoxville TN 37919-4019
Phone: (865) 539-9299
Fax: (865) 539-9701
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 25941 Tennessee

Profile Details

NPI number 1205881315
LBN Legal business name Mcmichen, John Wayne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 24th, 2006
Last updated May 10th, 2017 - about 9 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 1205881315 NPPES
Tennessee MEDICAID 1507230
Tennessee Other P00643329
Tennessee Other 4185180

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