Mettetal, Ray Wallace
Mettetal, Ray Wallace is an sole proprietor health care provider with primary practice located at 303 E 11Th Ave , Johnson City TN 37601-3932. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Mettetal, Ray Wallace can be contacted via phone (423) 341-7538.Contact Information
Primary practice address
303 E 11Th Ave
Johnson City TN 37601-3932
Phone: (423) 341-7538
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | MD 10753 | Tennessee |
Profile Details
| NPI number | 1730387036 |
|---|---|
| LBN Legal business name | Mettetal, Ray Wallace |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 7th, 2007 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730387036 | NPPES |
| Virginia | Other | 086382 | BC BS |
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