National Provider Identifier Database

EAST TENN NEUROLOGY CL PC
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

EAST TENN NEUROLOGY CL PC
9430 PARKWEST BLVD
SUITE 350
KNOXVILLE, TN37923-4203
Phone: 865-531-9430
Fax: 865-531-9580
Website:
Specialty Taxonomy Code
* Addiction Medicine 2084A0401X

* Indicates primary specialty

NPI Profile & details for EAST TENN NEUROLOGY CL PC

NPI Number 1932308293
Legal business name
LBN
EAST TENN NEUROLOGY CL PC
Authorized official SAM AL-KABBANI - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 07/16/2007
Last updated 07/19/2007 - About 19 years ago
Sole proprietor1 Not specified
Identifiers
  • TN License #: MD17875
  • TN Medicaid: 3386763

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 EAST TENN NEUROLOGY CL PC

There are currently no reviews for EAST TENN NEUROLOGY CL PC


NPIdb - Home
v2.201