Desouza, William C

Desouza, William C is an individual health care provider with primary practice located at 120 Davy Crockett Mall , Trenton TN 38382-2934. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Desouza, William C can be contacted via phone (731) 855-2803.

Contact Information

Primary practice address
120 Davy Crockett Mall Trenton TN 38382-2934
Fax: (731) 855-1746
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD8493 Tennessee

Profile Details

NPI number 1336135201
LBN Legal business name Desouza, William C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2005
Last updated Jul 8th, 2007 - about 15 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336135201 NPPES
Tennessee MEDICAID 3174197

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