Maroon, Michael

Maroon, Michael is an individual health care provider with primary practice located at 501 20Th St Suite 606, Knoxville TN 37916-1809. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Maroon, Michael can be contacted via phone (865) 546-8040.

Contact Information

Primary practice address
501 20Th St Suite 606 Knoxville TN 37916-1809
Phone: (865) 546-8040
Fax: (865) 541-2787
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 9052 Tennessee

Profile Details

NPI number 1699764696
LBN Legal business name Maroon, Michael
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 21st, 2005
Last updated Jun 30th, 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 1699764696 NPPES
Tennessee Other 4182806 BLUECROSS BLUE SHIELD
Tennessee MEDICAID 1505419 BLUECROSS BLUE SHIELD

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