Stoots, Connie R

Stoots, Connie R is an individual health care provider with primary practice located at 301 Med Tech Pkwy Ste 120 , Johnson City TN 37604. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Stoots, Connie R can be contacted via phone (423) 794-5590.

Contact Information

Primary practice address
301 Med Tech Pkwy Ste 120 Johnson City TN 37604
Phone: (423) 794-5590
Fax: (423) 794-5877
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 44523 Tennessee

Profile Details

NPI number 1760675474
LBN Legal business name Stoots, Connie R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 26th, 2007
Last updated May 5th, 2020 - about 4 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 1760675474 NPPES
Tennessee MEDICAID 1512854

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