Faquin, Cqrnell Charles
Faquin, Cqrnell Charles is an sole proprietor health care provider with primary practice located at 2749 Hunters Dr , Germantown TN 38138-6224. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Faquin, Cqrnell Charles can be contacted via phone (901) 755-4387.Contact Information
Primary practice address
2749 Hunters Dr
Germantown TN 38138-6224
Phone: (901) 755-4387
Fax: (901) 755-0718
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD3354 | Tennessee |
Profile Details
| NPI number | 1891827390 |
|---|---|
| LBN Legal business name | Faquin, Cqrnell Charles |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 10th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1891827390 | NPPES |
| Tennessee | Other | MD3354 | STATE LICENSE |
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