Mago, Philip

Mago, Philip is an sole proprietor health care provider with primary practice located at 110 29Th Ave N Ste 202, Nashville TN 37203-1401. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Mago, Philip can be contacted via phone (615) 327-4304.

Contact Information

Primary practice address
110 29Th Ave N Ste 202 Nashville TN 37203-1401
Phone: (615) 327-4304
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 047087 Tennessee

Profile Details

NPI number 1457346033
LBN Legal business name Mago, Philip
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 20th, 2005
Last updated May 17th, 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 1457346033 NPPES
Tennessee Other 3057417 BCBS NUMBER
Tennessee MEDICAID 3625233 BCBS NUMBER
Tennessee MEDICAID 74470873 BCBS NUMBER

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