Boslooper, Katie Lynne

Boslooper, Katie Lynne is an individual health care provider with primary practice located at 1420 Tusculum Blvd , Greeneville TN 37745-4279. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Boslooper, Katie Lynne can be contacted via phone (423) 787-5000.

Contact Information

Primary practice address
1420 Tusculum Blvd Greeneville TN 37745-4279
Phone: (423) 787-5000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2866 Tennessee

Profile Details

NPI number 1003289612
LBN Legal business name Boslooper, Katie Lynne
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 4th, 2015
Last updated Feb 26th, 2024 - about 2 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 1003289612 NPPES
Tennessee MEDICAID Q017697

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