Spady, Michael L

Spady, Michael L is an individual health care provider with primary practice located at 2511 Wesley St , Johnson City TN 37601-1723. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Spady, Michael L can be contacted via phone (423) 952-3050.

Contact Information

Primary practice address
2511 Wesley St Johnson City TN 37601-1723
Phone: (423) 952-3050
Fax: (423) 952-3055
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X MD0000019387 Tennessee

Profile Details

NPI number 1083671929
LBN Legal business name Spady, Michael L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2006
Last updated Jul 8th, 2007 - about 18 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 1083671929 NPPES
Tennessee MEDICAID 3042014

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