Kistner, Maurice Douglas

Kistner, Maurice Douglas is an individual health care provider with primary practice located at 103 N Shady St , Mountain City TN 37683-1333. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Kistner, Maurice Douglas can be contacted via phone (423) 727-5651.

Contact Information

Primary practice address
103 N Shady St Mountain City TN 37683-1333
Phone: (423) 727-5651
Fax: (423) 727-0148
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 5496 Tennessee

Profile Details

NPI number 1770708752
LBN Legal business name Kistner, Maurice Douglas
Credentials Doctor of Public Health (DPH)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 16th, 2007
Last updated Jul 8th, 2007 - about 19 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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