Claybrook, Harry Phillip
Claybrook, Harry Phillip is an individual health care provider with primary practice located at 1 Medical Park Blvd , Bristol TN 37620-7430. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Claybrook, Harry Phillip can be contacted via phone (423) 844-1121.Contact Information
Primary practice address
1 Medical Park Blvd
Bristol TN 37620-7430
Phone: (423) 844-1121
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | MD33815 | Tennessee |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD33815 | Tennessee |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD33815 | Tennessee |
Profile Details
| NPI number | 1801892765 |
|---|---|
| LBN Legal business name | Claybrook, Harry Phillip |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 24th, 2005 |
| Last updated | Feb 27th, 2024 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801892765 | NPPES |
| Virginia | MEDICAID | 005844223 | |
| Virginia | Other | 3145651 | |
| Virginia | Other | 110216162 | |
| Virginia | Other | 382283 | |
| Virginia | Other | 103I119100 |
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