Schoondyke, Jeffrey Wayne

Schoondyke, Jeffrey Wayne is an individual health care provider with primary practice located at 701 N State Of Franklin Rd Ste 2 , Johnson City TN 37604-3645. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Schoondyke, Jeffrey Wayne can be contacted via phone (423) 926-4468.

Contact Information

Primary practice address
701 N State Of Franklin Rd Ste 2 Johnson City TN 37604-3645
Phone: (423) 926-4468
Fax: (423) 928-4838
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 36563 Tennessee
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 101237133 Virginia

Profile Details

NPI number 1245228675
LBN Legal business name Schoondyke, Jeffrey Wayne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2005
Last updated Feb 12th, 2018 - 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 1245228675 NPPES
Virginia MEDICAID 010113652

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