Bulawa, Beth Ann

Bulawa, Beth Ann is an individual health care provider with primary practice located at 1404 Tusculum Blvd Ste 2100 , Greeneville TN 37745-4329. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Bulawa, Beth Ann can be contacted via phone (423) 783-5580.

Contact Information

Primary practice address
1404 Tusculum Blvd Ste 2100 Greeneville TN 37745-4329
Phone: (423) 783-5580
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 191942 New York

Profile Details

NPI number 1285620781
LBN Legal business name Bulawa, Beth Ann
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2005
Last updated Nov 14th, 2023 - about 3 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 1285620781 NPPES
Tennessee MEDICAID 1532375
Tennessee MEDICAID 01452991
Tennessee Other 1532375
Tennessee Other 4356397
Tennessee Other P01225987

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