Mitchell Deshazer
Internist Pulmonary Disease Critical Care Medicine and 1 more
400 N State Of Franklin Rd Room 2746
Johnson City
, Tennessee 37604-6035
Mitchell Deshazer
Internist Pulmonary Disease Critical Care Medicine and 1 more
400 N State Of Franklin Rd Room 2746
Johnson City
, Tennessee 37604-6035
(423) 431-6715
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About
Features
Specialties
- Internist
- Critical Care Medicine
- Pulmonary Disease
Languages spoken
- English
Location
First Address
- Mitchell Deshazer
- 400 N State Of Franklin Rd Room 2746
- Johnson City, TN
- Zip : 37604-6035
- Fax : (423) 431-6715
- Phone : (423) 431-2727
Second Address
- Mitchell Deshazer
- 400 N State Of Franklin Rd Room 2746
- Johnson City, TN
- Zip : 37604-6035
- Fax : (423) 431-6715
- Phone : (423) 431-2727
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FAQs
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Where is Mitchell Deshazer ’s practice located?
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Is Mitchell Deshazer a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207R00000X | Internist | 51285 | TN |
| N | 111NI0900X | Internist | 51285 | TN |
| N | 207R00000X | Internist | 7932447-1205 | UT |
| N | 111NI0900X | Internist | 7932447-1205 | UT |
| N | 207R00000X | Internist | N2058 | TX |
| N | 111NI0900X | Internist | N2058 | TX |
| Y | 207RC0200X | Critical Care Medicine | 51285 | TN |
| N | 207RP1001X | Pulmonary Disease | 51285 | TN |
National Provider Identifier
| NPI | 1023276870 |
|---|---|
| Provider Name | Mitchell Deshazer |
| First Address | Johnson City, TN 37604-6035 |
| Second Address | Johnson City, TN 37604-6035 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/05/2008 |
| Last Update Date | 01/02/2017 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1023276870 | (05) | NC |
| 1023276870 | (05) | VA |
| 7100376940 | (05) | KY |
| P01365055 | RAILROAD MEDICARE (01) | TN |
| Q007623 | (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.