Theerathorn, Pitchar
Theerathorn, Pitchar is an individual health care provider with primary practice located at 301 Med Tech Pkwy Ste 240 , Johnson City TN 37604-2641. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Theerathorn, Pitchar can be contacted via phone (423) 794-5520.Contact Information
Primary practice address
301 Med Tech Pkwy Ste 240
Johnson City TN 37604-2641
Phone: (423) 794-5520
Fax: (423) 282-6940
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 26545 | South Carolina |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 35127 | Tennessee |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 35127 | Tennessee |
Profile Details
| NPI number | 1548223084 |
|---|---|
| LBN Legal business name | Theerathorn, Pitchar |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 7th, 2006 |
| Last updated | May 23rd, 2022 - about 3 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 | 1548223084 | NPPES |
| Tennessee | MEDICAID | 3877775 | |
| Tennessee | MEDICAID | 279422500 | |
| Tennessee | Other | 562173631 |
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