Hamilos, David Theodore

Hamilos, David Theodore is an individual health care provider with primary practice located at 508 Princeton Rd Ste 202, Johnson City TN 37601-2063. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Hamilos, David Theodore can be contacted via phone (423) 926-2741.

Contact Information

Primary practice address
508 Princeton Rd Ste 202 Johnson City TN 37601-2063
Phone: (423) 926-2741
Fax: (423) 926-5782
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 000284 Tennessee

Profile Details

NPI number 1811986490
LBN Legal business name Hamilos, David Theodore
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2005
Last updated Jul 13th, 2026 - about 3 months 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 1811986490 NPPES
Tennessee Other 85440 BCBS OF TENNESSEE
Tennessee MEDICAID 3351538 BCBS OF TENNESSEE
Tennessee Other 000284 BCBS OF TENNESSEE

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