Waller, Ernest Andrew
Waller, Ernest Andrew is an individual health care provider with primary practice located at 463 Bmh Physicians Office Bldg , Maryville TN 37804-5807. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Sleep Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Waller, Ernest Andrew can be contacted via phone (865) 980-5100.Contact Information
Primary practice address
463 Bmh Physicians Office Bldg
Maryville TN 37804-5807
Phone: (865) 980-5100
Fax: (865) 980-5105
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | MD44636 | Tennessee |
| Allopathic & Osteopathic Physicians / Sleep Medicine | 207RS0012X | MD44636 | Tennessee |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | MD44636 | Tennessee |
Profile Details
| NPI number | 1427047745 |
|---|---|
| LBN Legal business name | Waller, Ernest Andrew |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 19th, 2005 |
| Last updated | Jan 23rd, 2023 - about 2 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 | 1427047745 | NPPES |
| Tennessee | MEDICAID | 1514049 |
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