Bovine, Thomas P.

Bovine, Thomas P. is an sole proprietor health care provider with primary practice located at 7794 Rhea County Hwy Suite 101, Dayton TN 37321-5981. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Bovine, Thomas P. can be contacted via phone (423) 775-3363.

Contact Information

Primary practice address
7794 Rhea County Hwy Suite 101 Dayton TN 37321-5981
Phone: (423) 775-3363
Fax: (423) 775-3366
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD14692 Tennessee

Profile Details

NPI number 1104982453
LBN Legal business name Bovine, Thomas P.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 29th, 2006
Last updated Jan 3rd, 2014 - about 12 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 1104982453 NPPES
Tennessee MEDICAID 3199194

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