Showalter, Patrick Rene

Showalter, Patrick Rene is an individual health care provider with primary practice located at 2204 Pavilion Dr Ste 310 , Kingsport TN 37660-4653. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Showalter, Patrick Rene can be contacted via phone (423) 246-4155.

Contact Information

Primary practice address
2204 Pavilion Dr Ste 310 Kingsport TN 37660-4653
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X MD0000036172 Tennessee

Profile Details

NPI number 1558343830
LBN Legal business name Showalter, Patrick Rene
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 14th, 2005
Last updated Dec 20th, 2023 - about last year

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 1558343830 NPPES
Tennessee MEDICAID 3873348

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