Hines, Elbert Edwin

Hines, Elbert Edwin is an individual health care provider with primary practice located at 6263 Poplar Ave Ste 1052, Memphis TN 38119-4736. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as his primary health care specialty. Hines, Elbert Edwin can be contacted via phone (901) 761-6157.

Contact Information

Primary practice address
6263 Poplar Ave Ste 1052 Memphis TN 38119-4736
Phone: (901) 761-6157
Fax: (901) 213-4513
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X MD15653 Tennessee

Profile Details

NPI number 1801896881
LBN Legal business name Hines, Elbert Edwin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2005
Last updated May 6th, 2016 - about 10 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 1801896881 NPPES
Tennessee Other 080040881 RAILROAD MEDICARE
Tennessee Other 2008944 RAILROAD MEDICARE
Tennessee MEDICAID 3017714 RAILROAD MEDICARE

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