Lacombe, Michael John

Lacombe, Michael John is an individual health care provider with primary practice located at 2525 Desales Ave , Chattanooga TN 37404-1161. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Lacombe, Michael John can be contacted via phone (423) 495-4430.

Contact Information

Primary practice address
2525 Desales Ave Chattanooga TN 37404-1161
Phone: (423) 495-4430
Fax: (423) 698-3622
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 43765 Tennessee
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 43765 Tennessee

Profile Details

NPI number 1861614539
LBN Legal business name Lacombe, Michael John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2007
Last updated Jan 26th, 2010 - about 16 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 1861614539 NPPES
Tennessee MEDICAID 1507021

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