National Provider Identifier Database

CHARLES B HERRIN, MD – NPI #1821039512
Addiction Medicine

A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine


Contact Information

CHARLES B HERRIN, MD
2300 PAVILION DR
KINGSPORT, TN37660-4622
Phone: 423-857-5571
Fax: 423-857-5237
Website:
Specialty Taxonomy Code
* Addiction Medicine 2084A0401X

* Indicates primary specialty

NPI Profile & details for CHARLES B HERRIN

NPI Number 1821039512
Credentials MD
Entity Individual
Enumeration date 06/10/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor1 No
Identifiers
  • TN License #: MD11902
  • TN Medicaid: 3837993
  • TN Other: TN01X8 JOHN DEERE
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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