Odell, Michael

Odell, Michael is an individual health care provider with primary practice located at 438 E Vann Rd Suite 100, Greeneville TN 37743-7202. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Odell, Michael can be contacted via phone (423) 278-1700.

Contact Information

Primary practice address
438 E Vann Rd Suite 100 Greeneville TN 37743-7202
Phone: (423) 278-1700
Fax: (423) 278-1708
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 005807 Tennessee

Profile Details

NPI number 1477593143
LBN Legal business name Odell, Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2006
Last updated Jun 15th, 2015 - 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 1477593143 NPPES
Tennessee MEDICAID 31442811
Tennessee Other MD5807

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