Underwood, David W

Underwood, David W is an sole proprietor health care provider with primary practice located at 2273 N Highland Ave Suite B, Jackson TN 38305-4909. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Underwood, David W can be contacted via phone (731) 664-9977.

Contact Information

Primary practice address
2273 N Highland Ave Suite B Jackson TN 38305-4909
Phone: (731) 664-9977
Fax: (731) 664-9484
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X MD0000019471 Tennessee

Profile Details

NPI number 1760425250
LBN Legal business name Underwood, David W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 13th, 2006
Last updated Jul 8th, 2007 - about 18 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 1760425250 NPPES
Tennessee MEDICAID 3044467
Tennessee Other 6959071
Tennessee Other 4077483

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