Reisser, John R
Reisser, John R is an individual health care provider with primary practice located at 6408 Papermill Dr , Knoxville TN 37919-4858. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Reisser, John R can be contacted via phone (865) 306-5820.Contact Information
Primary practice address
6408 Papermill Dr
Knoxville TN 37919-4858
Phone: (865) 306-5820
Fax: (865) 212-0163
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 17966 | Tennessee |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 17966 | Tennessee |
Profile Details
| NPI number | 1104904028 |
|---|---|
| LBN Legal business name | Reisser, John R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 1st, 2006 |
| Last updated | Jan 18th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104904028 | NPPES |
| Tennessee | MEDICAID | 3806185 |
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