Parks, Eric D

Parks, Eric D is an individual health care provider with primary practice located at 875 Larry Neil Way , Kingsport TN 37660-6368. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Parks, Eric D can be contacted via phone (423) 282-9011.

Contact Information

Primary practice address
875 Larry Neil Way Kingsport TN 37660-6368
Phone: (423) 282-9011
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X MD42823 Tennessee

Profile Details

NPI number 1295936391
LBN Legal business name Parks, Eric D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 29th, 2007
Last updated Dec 17th, 2019 - about 5 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 1295936391 NPPES
Tennessee MEDICAID 1514233

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