Tsao, Jack W
Tsao, Jack W is an individual health care provider with primary practice located at 1331 Union Ave Ste 1145 , Memphis TN 38104-7509. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Behavioral Neurology & Neuropsychiatry, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Tsao, Jack W can be contacted via phone (901) 448-7674.Contact Information
Primary practice address
1331 Union Ave Ste 1145
Memphis TN 38104-7509
Phone: (901) 448-7674
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Behavioral Neurology & Neuropsychiatry | 2084B0040X | 51145 | Tennessee |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 310245 | New York |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 51145 | Tennessee |
Profile Details
| NPI number | 1437135084 |
|---|---|
| LBN Legal business name | Tsao, Jack W |
| Credentials | MD, DPHIL |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 15th, 2005 |
| Last updated | Apr 25th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1437135084 | NPPES |
| Tennessee | MEDICAID | Q031283 | |
| Tennessee | MEDICAID | 226224001 | |
| Tennessee | MEDICAID | 1437135084 | |
| Tennessee | MEDICAID | 03882085 |
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