Faulks, David Harold

Faulks, David Harold is an individual health care provider with primary practice located at 610 Henslee Dr , Dickson TN 37055-1211. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Faulks, David Harold can be contacted via phone (615) 446-2020.

Contact Information

Primary practice address
610 Henslee Dr Dickson TN 37055-1211
Phone: (615) 446-2020
Fax: (615) 441-2020
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OD0000001783 Tennessee

Profile Details

NPI number 1982673935
LBN Legal business name Faulks, David Harold
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982673935 NPPES
Tennessee Other 1250080001 MEDICARE DMERC
Tennessee MEDICAID 3942446 MEDICARE DMERC
Tennessee Other 3119266 MEDICARE DMERC

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