Patterson, Michael David

Patterson, Michael David is an individual health care provider with primary practice located at 15 Iris Ln , Crossville TN 38555-7528. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Patterson, Michael David can be contacted via phone (931) 456-2728.

Contact Information

Primary practice address
15 Iris Ln Crossville TN 38555-7528
Fax: (931) 456-5446
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X DO2931 Tennessee
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X LL1589 South Carolina

Profile Details

NPI number 1851654867
LBN Legal business name Patterson, Michael David
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2012
Last updated Jul 13th, 2016 - about 9 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 1851654867 NPPES
Tennessee MEDICAID Q021938

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