Irvine, William David

Irvine, William David is an individual health care provider with primary practice located at 1000 Vann Dr Suite A, Jackson TN 38305-6061. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Irvine, William David can be contacted via phone (731) 668-3161.

Contact Information

Primary practice address
1000 Vann Dr Suite A Jackson TN 38305-6061
Phone: (731) 668-3161
Fax: (731) 668-3162
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X MD0000024247 Tennessee

Profile Details

NPI number 1760488498
LBN Legal business name Irvine, William David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2005
Last updated Mar 24th, 2009 - about 17 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 1760488498 NPPES
Mississippi Other 4097024 BLUE CROSS BLUE SHIELD
Mississippi MEDICAID 3325382 BLUE CROSS BLUE SHIELD

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