Thomas, Eapen
Thomas, Eapen is an sole proprietor health care provider with primary practice located at 2 Bandera Court , Johnson City TN 37604-1401. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Thomas, Eapen can be contacted via phone (423) 946-8668.Contact Information
Primary practice address
2 Bandera Court
Johnson City TN 37604-1401
Phone: (423) 946-8668
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 11937 | Tennessee |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | MD60655687 | Washington |
Profile Details
| NPI number | 1073563961 |
|---|---|
| LBN Legal business name | Thomas, Eapen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 11th, 2006 |
| Last updated | May 31st, 2016 - about 9 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 | 1073563961 | NPPES |
| Tennessee | MEDICAID | 3170558 |
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