Mormon, Paul Darwin

Mormon, Paul Darwin is an individual health care provider with primary practice located at 9031 Valley Crest Ln , Germantown TN 38138-7829. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Mormon, Paul Darwin can be contacted via phone (901) 757-2020.

Contact Information

Primary practice address
9031 Valley Crest Ln Germantown TN 38138-7829
Phone: (901) 757-2020
Fax: (901) 751-2399
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2254 Tennessee

Profile Details

NPI number 1699768887
LBN Legal business name Mormon, Paul Darwin
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2005
Last updated Mar 7th, 2023 - about 3 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 1699768887 NPPES
Tennessee Other 2254 OD

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