Mcrae, Karen J

Mcrae, Karen J is an individual health care provider with primary practice located at 2410 Susannah St , Johnson City TN 37601-1748. She recently has only one registered license in Allopathic & Osteopathic Physicians / Foot and Ankle Surgery, which is considered as her primary health care specialty. Mcrae, Karen J can be contacted via phone (423) 282-9011.

Contact Information

Primary practice address
2410 Susannah St Johnson City TN 37601-1748
Fax: (423) 282-0035
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Foot and Ankle Surgery 207XX0004X 29358 Tennessee

Profile Details

NPI number 1962467498
LBN Legal business name Mcrae, Karen J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 18th, 2006
Last updated Dec 16th, 2019 - about 6 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 1962467498 NPPES
Tennessee MEDICAID 3813627

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