Buchanan, Justin Todd

Buchanan, Justin Todd is an individual health care provider with primary practice located at 1924 Alcoa Hwy # U107 , Knoxville TN 37920-1511. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Buchanan, Justin Todd can be contacted via phone (865) 305-9661.

Contact Information

Primary practice address
1924 Alcoa Hwy # U107 Knoxville TN 37920-1511
Phone: (865) 305-9661
Fax: (865) 305-6148
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X ME126787 Florida
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 2018-03007 North Carolina
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 46689 Tennessee

Profile Details

NPI number 1689803355
LBN Legal business name Buchanan, Justin Todd
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 2nd, 2009
Last updated Aug 21st, 2019 - about 6 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 1689803355 NPPES
Florida Other IM424Y MEDICARE PTAN
Florida Other KZBPL MEDICARE PTAN
Florida MEDICAID 016743700 MEDICARE PTAN
Florida Other IM424Z MEDICARE PTAN
Florida Other P01664307 MEDICARE PTAN
Florida Other IM424X MEDICARE PTAN

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