Tate, Terrell Sean
Tate, Terrell Sean is an sole proprietor health care provider with primary practice located at 1661 International Drive Suite 400, Memphis TN 38120-1431. He recently has only one registered license in Other Service Providers / Prosthetics Case Management, which is considered as his primary health care specialty. Tate, Terrell Sean can be contacted via phone (901) 340-2008.Contact Information
Primary practice address
1661 International Drive Suite 400
Memphis TN 38120-1431
Phone: (901) 340-2008
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Prosthetics Case Management | 1744P3200X | PRO130 | Tennessee |
Profile Details
| NPI number | 1164929543 |
|---|---|
| LBN Legal business name | Tate, Terrell Sean |
| Credentials | BOCP, CO |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 11th, 2018 |
| Last updated | May 28th, 2021 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164929543 | NPPES |
| Tennessee | Other | PRO130 | TN DEPT OF HEALTH DIVISION OF RELATED BOARDS |
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