Monderer, Rachel

Monderer, Rachel is an individual health care provider with primary practice located at 301 Med Tech Pkwy Ste 280, Johnson City TN 37604-2364. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Monderer, Rachel can be contacted via phone (423) 794-5550.

Contact Information

Primary practice address
301 Med Tech Pkwy Ste 280 Johnson City TN 37604-2364
Phone: (423) 794-5550
Fax: (423) 928-0394
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 21735 Tennessee

Profile Details

NPI number 1568467728
LBN Legal business name Monderer, Rachel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2005
Last updated Apr 14th, 2020 - about 4 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 1568467728 NPPES
Tennessee MEDICAID 3061402

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