Templeton, Mia Lyn

Templeton, Mia Lyn is an sole proprietor health care provider with primary practice located at 2000 Brookside Dr , Kingsport TN 37660-4627. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as her primary health care specialty. Templeton, Mia Lyn can be contacted via phone (423) 857-7000.

Contact Information

Primary practice address
2000 Brookside Dr Kingsport TN 37660-4627
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X MD0000035386 Tennessee

Profile Details

NPI number 1023068822
LBN Legal business name Templeton, Mia Lyn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 11th, 2006
Last updated Mar 7th, 2023 - about 3 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 1023068822 NPPES
Tennessee MEDICAID 3869662

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