King, Bernadette

King, Bernadette is an individual health care provider with primary practice located at 304 Church St , Sweetwater TN 37874-1181. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. King, Bernadette can be contacted via phone (865) 213-8200.

Contact Information

Primary practice address
304 Church St Sweetwater TN 37874-1181
Phone: (865) 213-8200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD20711 Tennessee

Profile Details

NPI number 1548263742
LBN Legal business name King, Bernadette
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2005
Last updated Jun 1st, 2015 - about 11 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 1548263742 NPPES
Tennessee MEDICAID 3053772

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