Spivey, Patrick H

Spivey, Patrick H is an sole proprietor health care provider with primary practice located at 130 W Ravine Rd , Kingsport TN 37660-3810. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Spivey, Patrick H can be contacted via phone (423) 224-4000.

Contact Information

Primary practice address
130 W Ravine Rd Kingsport TN 37660-3810
Phone: (423) 224-4000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 16219 Tennessee

Profile Details

NPI number 1356385447
LBN Legal business name Spivey, Patrick H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 16th, 2006
Last updated Oct 12th, 2015 - about 9 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 1356385447 NPPES
Tennessee MEDICAID 3014486
Tennessee MEDICAID 7100141340
Tennessee MEDICAID 1510103

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