Sumida, Michael P
Sumida, Michael P is an sole proprietor health care provider with primary practice located at 719 Cook Dr Ste 109, Athens TN 37303-3495. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Sumida, Michael P can be contacted via phone (423) 745-2344.Contact Information
Primary practice address
719 Cook Dr Ste 109
Athens TN 37303-3495
Phone: (423) 745-2344
Fax: (423) 745-2314
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | MD27304 | Tennessee |
Profile Details
| NPI number | 1609835115 |
|---|---|
| LBN Legal business name | Sumida, Michael P |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 22nd, 2006 |
| Last updated | Mar 1st, 2010 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609835115 | NPPES |
| Tennessee | MEDICAID | 3096585 | |
| Tennessee | Other | 3146634 |
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