Witherspoon, Laura E

Witherspoon, Laura E is an individual health care provider with primary practice located at 979 E 3Rd St Ste 300, Chattanooga TN 37403-2136. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Witherspoon, Laura E can be contacted via phone (423) 267-0466.

Contact Information

Primary practice address
979 E 3Rd St Ste 300 Chattanooga TN 37403-2136
Phone: (423) 267-0466
Fax: (423) 493-2370
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MD25602 Tennessee

Profile Details

NPI number 1588658181
LBN Legal business name Witherspoon, Laura E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 9th, 2005
Last updated Feb 19th, 2019 - 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 1588658181 NPPES
Other 020039112 RR MEDICARE
Other 1740004 RR MEDICARE
MEDICAID Q002564 RR MEDICARE
MEDICAID 150882 RR MEDICARE
Other 62165877455 RR MEDICARE
MEDICAID 00670249B RR MEDICARE
Other 3076751 RR MEDICARE
Other 8045925 001 RR MEDICARE

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