Pack, Sheryl D

Pack, Sheryl D is an individual health care provider with primary practice located at 1497 W Elk Ave Suite 21, Elizabethton TN 37643-2895. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Pack, Sheryl D can be contacted via phone (423) 542-7420.

Contact Information

Primary practice address
1497 W Elk Ave Suite 21 Elizabethton TN 37643-2895
Phone: (423) 542-7420
Fax: (423) 542-7425
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 33787 Tennessee

Profile Details

NPI number 1598715419
LBN Legal business name Pack, Sheryl D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2006
Last updated Feb 21st, 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 1598715419 NPPES
Virginia MEDICAID 1598715419
Virginia Other 4122812
Virginia MEDICAID 3865567
Virginia MEDICAID 3864465
Virginia MEDICAID 3865561

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