National Provider Identifier Database

EAST TENNESSEE STATE UNIVERSITY
Rural Health


Contact Information

EAST TENNESSEE STATE UNIVERSITY
1901 S SHADY STREET
MOUNTAIN CITY, TN37683-2601
Phone: 423-727-1150
Fax: 423-727-1152
Website:
Specialty Taxonomy Code
* Rural Health 261QR1300X

* Indicates primary specialty

NPI Profile & details for EAST TENNESSEE STATE UNIVERSITY

NPI Number 1295779361
Legal business name
LBN
EAST TENNESSEE STATE UNIVERSITY
Authorized official BETTY KING - (ACTING CHIEF FINANCIAL OFFICER)
Entity Organization
Organization subpart No
Enumeration date 06/16/2006
Last updated 09/22/2017 - About 9 years ago
Sole proprietor1 Not specified
Identifiers 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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