Botero, Herman G
Botero, Herman G is an individual health care provider with primary practice located at 1422 Old Weisgarber Rd , Knoxville TN 37909-1293. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Botero, Herman G can be contacted via phone (865) 558-4400.Contact Information
Primary practice address
1422 Old Weisgarber Rd
Knoxville TN 37909-1293
Phone: (865) 558-4400
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 2089 | Tennessee |
| Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery | 207XS0114X | 2089 | Tennessee |
Profile Details
| NPI number | 1023094349 |
|---|---|
| LBN Legal business name | Botero, Herman G |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 19th, 2005 |
| Last updated | Jun 14th, 2017 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023094349 | NPPES |
| Tennessee | Other | 6016883 | BLUECROSS BLUESHIELD |
| Tennessee | Other | 9292410 | BLUECROSS BLUESHIELD |
| Tennessee | Other | P01361606 | BLUECROSS BLUESHIELD |
| Tennessee | MEDICAID | 1525609 | BLUECROSS BLUESHIELD |
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