National Provider Identifier Database

WESTSIDE GASTROINTESTINAL SPECIALISTS PLLC
Specialist

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.


Contact Information

WESTSIDE GASTROINTESTINAL SPECIALISTS PLLC
9330 PARK WEST BLVD
STE 506
KNOXVILLE, TN37923
Phone: 865-539-5372
Fax: 865-539-5369
Website:
Specialty Taxonomy Code
* Specialist 174400000X

* Indicates primary specialty

NPI Profile & details for WESTSIDE GASTROINTESTINAL SPECIALISTS PLLC

NPI Number 1306823976
Legal business name
LBN
WESTSIDE GASTROINTESTINAL SPECIALISTS PLLC
Authorized official LIZ BLOSSER - (SUPV)
Entity Organization
Organization subpart No
Enumeration date 12/27/2005
Last updated 06/05/2018 - About 8 years ago
Sole proprietor1 Not specified
Identifiers
  • TN License #: MD000021220
  • TN Medicaid: 3726442
  • TN Other: 4087556 BCBS PROV #

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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