Moffet, Eric David

Moffet, Eric David is an individual health care provider with primary practice located at 1920 Brookside Dr Suite 15, Kingsport TN 37660. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Moffet, Eric David can be contacted via phone (423) 392-6500.

Contact Information

Primary practice address
1920 Brookside Dr Suite 15 Kingsport TN 37660
Phone: (423) 392-6500
Fax: (423) 392-6504
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X MD020620 Tennessee

Profile Details

NPI number 1609984178
LBN Legal business name Moffet, Eric David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 26th, 2006
Last updated Jul 9th, 2008 - about 16 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 1609984178 NPPES
Tennessee MEDICAID 3052859
Tennessee Other 0105831
Tennessee Other 069099

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