Figueroa, Mario

Figueroa, Mario is an individual health care provider with primary practice located at 294 Summar Dr , Jackson TN 38301-3915. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Figueroa, Mario can be contacted via phone (731) 423-1932.

Contact Information

Primary practice address
294 Summar Dr Jackson TN 38301-3915
Phone: (731) 423-1932
Fax: (731) 423-4919
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 39906 Tennessee

Profile Details

NPI number 1548259690
LBN Legal business name Figueroa, Mario
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2005
Last updated Jul 12th, 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 1548259690 NPPES
Tennessee MEDICAID 3333293
Tennessee Other 35071
Tennessee Other 1348845
Tennessee Other 168579
Tennessee Other 4108545

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