Spear, J. Michael

Spear, J. Michael is an individual health care provider with primary practice located at 235 Medical Park Blvd , Bristol TN 37620-7455. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Spear, J. Michael can be contacted via phone (423) 246-6777.

Contact Information

Primary practice address
235 Medical Park Blvd Bristol TN 37620-7455
Phone: (423) 246-6777
Fax: (423) 246-7766
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X MD014427 Tennessee

Profile Details

NPI number 1871588368
LBN Legal business name Spear, J. Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2005
Last updated May 27th, 2008 - about 16 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 1871588368 NPPES
Tennessee Other 100026287 PHP TENNCARE
Tennessee Other 283685 PHP TENNCARE
Tennessee MEDICAID 005831423 PHP TENNCARE
Tennessee Other 4546278 PHP TENNCARE
Tennessee Other 3122028 PHP TENNCARE
Tennessee MEDICAID 3700035 PHP TENNCARE
Tennessee Other TN0112 PHP TENNCARE
Tennessee MEDICAID 0227812000 PHP TENNCARE
Tennessee MEDICAID 64776750 PHP TENNCARE

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