Bulawa, Erick C

Bulawa, Erick C is an individual health care provider with primary practice located at 438 E Vann Rd Ste 201 , Greeneville TN 37743-7202. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obesity Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Bulawa, Erick C can be contacted via phone (423) 278-1800.

Contact Information

Primary practice address
438 E Vann Rd Ste 201 Greeneville TN 37743-7202
Fax: (423) 278-1805
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obesity Medicine 207RB0002X 179208 Tennessee
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 179208 Tennessee
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 179208 Tennessee

Profile Details

NPI number 1326020199
LBN Legal business name Bulawa, Erick C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2005
Last updated Nov 14th, 2023 - 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 1326020199 NPPES
Tennessee MEDICAID Q001917
Tennessee MEDICAID 01458891
Tennessee Other 4357373
Tennessee Other P01237829

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