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:
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Health care specialties

SpecialtyCodeLicense #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 6 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 1104904028 NPPES
Tennessee MEDICAID 3806185

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