Kreshek, David Edward

Kreshek, David Edward is an individual health care provider with primary practice located at 1009 Lark St Suite 2, Johnson City TN 37604-8217. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Kreshek, David Edward can be contacted via phone (423) 283-0776.

Contact Information

Primary practice address
1009 Lark St Suite 2 Johnson City TN 37604-8217
Phone: (423) 283-0776
Fax: (423) 283-0549
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X MD0000027537 Tennessee

Profile Details

NPI number 1609875103
LBN Legal business name Kreshek, David Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2005
Last updated May 15th, 2014 - 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 1609875103 NPPES
Tennessee MEDICAID 3883587

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