Dr. Jon William Taveau
Neurosurgeon
444 Clinchfield St Ste 103
Kingsport
, Tennessee 37660-3859
Dr. Jon William Taveau
Neurosurgeon
444 Clinchfield St Ste 103
Kingsport
, Tennessee 37660-3859
(423) 230-6349
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About
Features
Specialties
- Neurosurgeon
Languages spoken
- English
Location
First Address
- Dr. Jon William Taveau
- 444 Clinchfield St Ste 103
- Kingsport, TN
- Zip : 37660-3859
- Fax : (423) 230-6349
- Phone : (423) 578-1518
Second Address
- Dr. Jon William Taveau
- 444 Clinchfield St Ste 103
- Kingsport, TN
- Zip : 37660-3859
- Fax : (423) 230-6349
- Phone : (423) 578-1518
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207T00000X | Neurosurgeon | 036.123122 | IL |
| N | 207T00000X | Neurosurgeon | 20A9091 | CA |
| Y | 207T00000X | Neurosurgeon | 3367 | TN |
National Provider Identifier
| NPI | 1083897086 |
|---|---|
| Provider Name | Dr. Jon William Taveau |
| First Address | Kingsport, TN 37660-3859 |
| Second Address | Kingsport, TN 37660-3859 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/12/2007 |
| Last Update Date | 21/04/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 036123122 | (05) | IL |
| 3932056 | BCBS (01) | IL |
| 721089 | AETNA (01) | IL |
| I47151 | (02) | CA |
| Q038189 | (05) | TN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.