Deevilaiphan, Prom
Deevilaiphan, Prom is an individual health care provider with primary practice located at 3 Maryland Farms , Brentwood TN 37027-5005. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Electroneurodiagnostic, which is considered as his primary health care specialty. Deevilaiphan, Prom can be contacted via phone (800) 348-4565.Contact Information
Primary practice address
3 Maryland Farms
Brentwood TN 37027-5005
Phone: (800) 348-4565
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Technologists, Technicians & Other Technical Service Providers / Electroneurodiagnostic | 246ZE0600X |
Profile Details
| NPI number | 1811863897 |
|---|---|
| LBN Legal business name | Deevilaiphan, Prom |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 15th, 2025 |
| Last updated | Oct 15th, 2025 - about last year |
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.
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