National Provider Identifier Database

EAST TENNESSEE ALLERGY PC
Allergy & Immunology

An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.


Contact Information

EAST TENNESSEE ALLERGY PC
1120 E WEISGARBER RD
STE 102
KNOXVILLE, TN37909
Phone: 865-584-2071
Fax: 865-584-2165
Website:
Specialty Taxonomy Code
* Allergy & Immunology 207K00000X

* Indicates primary specialty

NPI Profile & details for EAST TENNESSEE ALLERGY PC

NPI Number 1033213764
Legal business name
LBN
EAST TENNESSEE ALLERGY PC
Authorized official JEFFREY SCHLACTUS - (PRESIDENT STA)
Entity Organization
Organization subpart No
Enumeration date 09/12/2006
Last updated 08/24/2010 - About 16 years ago
Sole proprietor1 Not specified
Identifiers
  • TN License #: MD16984
  • TN Medicaid: 10011730
  • TN Other: 60072 BC

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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