Alfredson, David
Alfredson, David is an individual health care provider with primary practice located at 529 W Commerce St , Lewisburg TN 37091-3219. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Alfredson, David can be contacted via phone (931) 276-2234.Contact Information
Primary practice address
529 W Commerce St
Lewisburg TN 37091-3219
Phone: (931) 276-2234
Fax: (931) 276-2233
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | MD 13280 | Tennessee |
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | MD 13280 | Tennessee |
Profile Details
| NPI number | 1720105547 |
|---|---|
| LBN Legal business name | Alfredson, David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 25th, 2007 |
| Last updated | Feb 16th, 2015 - about 11 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 | 1720105547 | NPPES |
| Tennessee | Other | 149997 | BLUE CROSS BLUE SHIELD TN |
| Tennessee | MEDICAID | 3185437 | BLUE CROSS BLUE SHIELD TN |
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