Pinell, Octavio J

Pinell, Octavio J is an individual health care provider with primary practice located at 2002 Brookside Dr Suite 300, Kingsport TN 37660-4634. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Pinell, Octavio J can be contacted via phone (423) 392-6370.

Contact Information

Primary practice address
2002 Brookside Dr Suite 300 Kingsport TN 37660-4634
Fax: (423) 392-6736
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X MD017185 Tennessee

Profile Details

NPI number 1730186859
LBN Legal business name Pinell, Octavio J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2005
Last updated Feb 21st, 2017 - about 7 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 1730186859 NPPES
Tennessee MEDICAID 3022087
Tennessee MEDICAID 1730186859

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