Powell, Laura A

Powell, Laura A is an individual health care provider with primary practice located at 1817 W Morris Blvd , Morristown TN 37813-2837. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Powell, Laura A can be contacted via phone (423) 581-3904.

Contact Information

Primary practice address
1817 W Morris Blvd Morristown TN 37813-2837
Fax: (423) 581-6120
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 29286 Tennessee

Profile Details

NPI number 1609961341
LBN Legal business name Powell, Laura A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2006
Last updated Nov 9th, 2018 - about 8 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 1609961341 NPPES
Tennessee MEDICAID 3813700

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