Powers, Marvin C

Powers, Marvin C is an individual health care provider with primary practice located at 851 Locust St , Rogersville TN 37857-2407. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Powers, Marvin C can be contacted via phone (423) 921-7000.

Contact Information

Primary practice address
851 Locust St Rogersville TN 37857-2407
Phone: (423) 921-7000
Fax: (423) 224-3258
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RN0000055259 Tennessee

Profile Details

NPI number 1851386072
LBN Legal business name Powers, Marvin C
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2005
Last updated Oct 21st, 2009 - 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 1851386072 NPPES
Tennessee Other 3050980 BCBS
Tennessee MEDICAID 3602601 BCBS

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