Thomas, Eapen

Thomas, Eapen is an sole proprietor health care provider with primary practice located at 2 Bandera Court , Johnson City TN 37604-1401. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Thomas, Eapen can be contacted via phone (423) 946-8668.

Contact Information

Primary practice address
2 Bandera Court Johnson City TN 37604-1401
Phone: (423) 946-8668
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 11937 Tennessee
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X MD60655687 Washington

Profile Details

NPI number 1073563961
LBN Legal business name Thomas, Eapen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 11th, 2006
Last updated May 31st, 2016 - about 10 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 1073563961 NPPES
Tennessee MEDICAID 3170558

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