Kazmier, W Jan
Kazmier, W Jan is an sole proprietor health care provider with primary practice located at 2995 Fort Henry Dr Suite 100, Kingsport TN 37664-4005. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Kazmier, W Jan can be contacted via phone (423) 246-6445.Contact Information
Primary practice address
2995 Fort Henry Dr Suite 100
Kingsport TN 37664-4005
Phone: (423) 246-6445
Fax: (423) 246-8240
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | MD0000016939 | Tennessee |
Profile Details
| NPI number | 1235197815 |
|---|---|
| LBN Legal business name | Kazmier, W Jan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 3rd, 2006 |
| Last updated | Jul 18th, 2013 - about 13 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 | 1235197815 | NPPES |
| Tennessee | Other | 0078009 | BLUE CROSS/BLUE SHIELD |
| Tennessee | MEDICAID | 3038457 | BLUE CROSS/BLUE SHIELD |
| Tennessee | Other | 079672 | BLUE CROSS/BLUE SHIELD |
| Tennessee | Other | 110024502 | BLUE CROSS/BLUE SHIELD |
| Tennessee | Other | 01-41828 | BLUE CROSS/BLUE SHIELD |
| Tennessee | Other | TN0101 | BLUE CROSS/BLUE SHIELD |
| Tennessee | Other | 621482794 | BLUE CROSS/BLUE SHIELD |
| Tennessee | MEDICAID | 006036791 | BLUE CROSS/BLUE SHIELD |
| Tennessee | Other | 100010179 | BLUE CROSS/BLUE SHIELD |
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