Mccauley, John

Mccauley, John is an individual health care provider with primary practice located at 2500 Jacksboro Pike Suite 6, Jacksboro TN 37757-2818. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecology, which is considered as his primary health care specialty. Mccauley, John can be contacted via phone (423) 907-1685.

Contact Information

Primary practice address
2500 Jacksboro Pike Suite 6 Jacksboro TN 37757-2818
Fax: (423) 907-1688
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X MD34809 Tennessee

Profile Details

NPI number 1982608675
LBN Legal business name Mccauley, John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2005
Last updated Feb 7th, 2013 - about 13 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 1982608675 NPPES
Tennessee MEDICAID 3866041

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