Teague, Michael D
Teague, Michael D is an individual health care provider with primary practice located at 907 E Lamar Alexander Parkway , Maryville TN 37804-5012. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cytopathology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is his primary health care specialty. Teague, Michael D can be contacted via phone (865) 981-2335.Contact Information
Primary practice address
907 E Lamar Alexander Parkway
Maryville TN 37804-5012
Phone: (865) 981-2335
Fax: (865) 694-4339
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cytopathology | 207ZC0500X | 21749 | Tennessee |
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 21749 | Tennessee |
Profile Details
| NPI number | 1619922457 |
|---|---|
| LBN Legal business name | Teague, Michael D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 23rd, 2006 |
| Last updated | Sep 17th, 2012 - about 14 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 | 1619922457 | NPPES |
| Tennessee | MEDICAID | 3826237 |
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