Staab, David Bernard
Staab, David Bernard is an individual health care provider with primary practice located at 576 Fort Loudoun Medical Center Dr #101, Lenoir City TN 37772-5676. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Staab, David Bernard can be contacted via phone (865) 690-5263.Contact Information
Primary practice address
576 Fort Loudoun Medical Center Dr #101
Lenoir City TN 37772-5676
Phone: (865) 690-5263
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | MD35862 | Tennessee |
Profile Details
| NPI number | 1326155292 |
|---|---|
| LBN Legal business name | Staab, David Bernard |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 24th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326155292 | NPPES |
| Tennessee | MEDICAID | 3870535 |
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