Primka, Edward John

Primka, Edward John is an individual health care provider with primary practice located at 1450 Dowell Springs Blvd Ste 210 , Knoxville TN 37909-2448. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Procedural Dermatology, Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Primka, Edward John can be contacted via phone (865) 524-2547.

Contact Information

Primary practice address
1450 Dowell Springs Blvd Ste 210 Knoxville TN 37909-2448
Phone: (865) 524-2547
Fax: (865) 205-5601
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X MD0000035486 Tennessee
Allopathic & Osteopathic Physicians / Dermatology 207N00000X MD0000035486 Tennessee
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X MD0000035486 Tennessee

Profile Details

NPI number 1134105919
LBN Legal business name Primka, Edward John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 22nd, 2005
Last updated Aug 4th, 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 1134105919 NPPES
Tennessee MEDICAID 386126
Tennessee Other 100035981
Tennessee Other 5533476
Tennessee Other 70015833
Tennessee Other 621247710
Tennessee Other 340133
Tennessee Other 3788990004
Tennessee Other 4015496
Tennessee Other 621247710001

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