National Provider Identifier Database

EMMAUS COMMUNITY HEALTHCARE PLLC
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.


Contact Information

EMMAUS COMMUNITY HEALTHCARE, PLLC
6419 BRISTOL HIGHWAY
PINEY FLATS, TN37686
Phone: 423-538-5202
Fax: 423-538-8208
Website:
Specialty Taxonomy Code
* General Practice 208D00000X
Internal Medicine 207R00000X

* Indicates primary specialty

NPI Profile & details for EMMAUS COMMUNITY HEALTHCARE, PLLC

NPI Number 1356379093
Legal business name
LBN
EMMAUS COMMUNITY HEALTHCARE, PLLC
Authorized official CHARLES BACKUS - (AUTHORIZED OFFICIAL)
Entity Organization
Organization subpart No
Enumeration date 06/29/2006
Last updated 10/07/2025 - About 8 months ago
Sole proprietor1 Not specified
Identifiers
  • TN Medicaid: 3726460
  • TN Other: DD0861 RR

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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