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EAST TENNESSEE ALLERGY PC NPI 1033213764


NPI Information

NPI: 1033213764
Provider Name: EAST TENNESSEE ALLERGY PC

Doing Business As: JEFFREY L SCHLACTUS MD

Classification: Allergy & Immunology - 207K00000X
Entity Type: Organization
Address:
1120 E WEISGARBER RD
STE 102
KNOXVILLE, TN
ZIP 37909
Phone: (865) 584-2071
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EAST TENNESSEE ALLERGY PC is an allergy immunology in Knoxville, TN. The provider is an allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. EAST TENNESSEE ALLERGY PC NPI is 1033213764. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Jeffrey L Schlactus Md.

The provider's business location address is:

1120 E WEISGARBER RD
STE 102
KNOXVILLE, TN
ZIP 37909
Phone: (865) 584-2071
Fax: (865) 584-2165

The provider's authorized official is Jeffrey Lloyd Schlactus .
The authorized official title is President Sta and has the following contact phone number (865) 584-2071.

The enumeration date for this NPI number is 9/12/2006 and was last updated on 8/24/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207K00000XAllergy & ImmunologyMD16984TENNESSEEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
13024286MEDICARE ID-TYPE UNSPECIFIEDTENNESSEE
210011730MEDICAIDTENNESSEE
360072OTHERTENNESSEEBC
4A98879MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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