Staab, David Bernard

Staab, David Bernard is an individual health care provider with primary practice located at 576 Fort Loudoun Medical Center Dr #101, Lenoir City TN 37772-5676. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Staab, David Bernard can be contacted via phone (865) 690-5263.

Contact Information

Primary practice address
576 Fort Loudoun Medical Center Dr #101 Lenoir City TN 37772-5676
Phone: (865) 690-5263
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MD35862 Tennessee

Profile Details

NPI number 1326155292
LBN Legal business name Staab, David Bernard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2006
Last updated Jul 8th, 2007 - about 17 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 1326155292 NPPES
Tennessee MEDICAID 3870535

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