Escobar, Alfonso

Escobar, Alfonso is an individual health care provider with primary practice located at 110 29Th Ave N Ste 202, Nashville TN 37203-1448. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Escobar, Alfonso can be contacted via phone (615) 327-4304.

Contact Information

Primary practice address
110 29Th Ave N Ste 202 Nashville TN 37203-1448
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 08958

Profile Details

NPI number 1285639880
LBN Legal business name Escobar, Alfonso
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 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 1285639880 NPPES
Tennessee MEDICAID 3156717
Tennessee Other 3065401
Tennessee MEDICAID 64741440

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