Provider Demographics
NPI:1508081373
Name:FOCUS ON FUCTION, INC.
Entity Type:Organization
Organization Name:FOCUS ON FUCTION, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:MARY
Authorized Official - Last Name:MICHAUD
Authorized Official - Suffix:
Authorized Official - Credentials:OTRL
Authorized Official - Phone:423-622-6615
Mailing Address - Street 1:4159 RINGGOLD RD STE 106
Mailing Address - Street 2:
Mailing Address - City:EAST RIDGE
Mailing Address - State:TN
Mailing Address - Zip Code:37412-2442
Mailing Address - Country:US
Mailing Address - Phone:423-622-6615
Mailing Address - Fax:423-622-6614
Practice Address - Street 1:4159 RINGGOLD RD STE 106
Practice Address - Street 2:
Practice Address - City:EAST RIDGE
Practice Address - State:TN
Practice Address - Zip Code:37412-2442
Practice Address - Country:US
Practice Address - Phone:423-622-6615
Practice Address - Fax:423-622-6614
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNPSS0000000026261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN4070765OtherBLUECARE
TN3655659Medicare ID - Type Unspecified