National Provider Identifier Database

MACIE ANDERSON
Family


Contact Information

MACIE ANDERSON
411 CLAY ST
KINGSPORT, TN37660
Phone: 423-247-4536
Fax:
Website:
Specialty Taxonomy Code
* Family 363LF0000X

* Indicates primary specialty

NPI Profile & details for MACIE ANDERSON

NPI Number 1871095315
Credentials
Entity Individual
Enumeration date 03/01/2018
Last updated 03/01/2018 - About 8 years ago
Sole proprietor1 No
Identifiers
  • AL License #: 1-153530
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.

Reviews for MACIE ANDERSON

There are currently no reviews for MACIE ANDERSON


NPIdb - Home
v2.201