Boduch, Thomas Francis

Boduch, Thomas Francis is an sole proprietor health care provider with primary practice located at 314 E Spring St , Kingston TN 37763-2839. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Boduch, Thomas Francis can be contacted via phone (865) 376-1212.

Contact Information

Primary practice address
314 E Spring St Kingston TN 37763-2839
Phone: (865) 376-1212
Fax: (865) 376-0010
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 14330 Tennessee
Allopathic & Osteopathic Physicians / General Practice 208D00000X MD0000014330 Tennessee

Profile Details

NPI number 1770588741
LBN Legal business name Boduch, Thomas Francis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 16th, 2005
Last updated Jan 10th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770588741 NPPES
Tennessee Other 0086951 BLUECROSS BLUESHIELD OF TENNESSEE
Tennessee MEDICAID 3004412 BLUECROSS BLUESHIELD OF TENNESSEE

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