National Provider Identifier Database

1 TEAM LLC TAZEWELL
Family


Contact Information

1 TEAM LLC TAZEWELL
150 HESTER LN
TAZEWELL, TN37879-5088
Phone: 423-851-1149
Fax:
Website:
Specialty Taxonomy Code
* Family 363LF0000X

* Indicates primary specialty

NPI Profile & details for 1 TEAM LLC TAZEWELL

NPI Number 1710425368
Legal business name
LBN
1 TEAM LLC TAZEWELL
Authorized official CHARLES DOTY - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 02/03/2017
Last updated 02/03/2017 - About 9 years ago
Sole proprietor1 Not specified
Identifiers
  • TN License #: 1366442782

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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