Taveau, Jon William

Taveau, Jon William is an individual health care provider with primary practice located at 444 Clinchfield St Ste 103 , Kingsport TN 37660-3859. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Taveau, Jon William can be contacted via phone (423) 578-1518.

Contact Information

Primary practice address
444 Clinchfield St Ste 103 Kingsport TN 37660-3859
Phone: (423) 578-1518
Fax: (423) 230-6349
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 036.123122 Illinois
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 20A9091 California
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 3367 Tennessee

Profile Details

NPI number 1083897086
LBN Legal business name Taveau, Jon William
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 12th, 2007
Last updated Apr 21st, 2020 - about 5 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 1083897086 NPPES
Tennessee MEDICAID Q038189
Tennessee MEDICAID 036123122
Tennessee Other 3932056
Tennessee Other 721089

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