Valdivia, Remy A

Valdivia, Remy A is an individual health care provider with primary practice located at 3363 N Highland Ave , Jackson TN 38305-3487. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Valdivia, Remy A can be contacted via phone (731) 668-9899.

Contact Information

Primary practice address
3363 N Highland Ave Jackson TN 38305-3487
Fax: (731) 660-2121
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 37511 Tennessee

Profile Details

NPI number 1457383952
LBN Legal business name Valdivia, Remy A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2006
Last updated Jul 8th, 2007 - about 19 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 1457383952 NPPES
Tennessee Other 4116255 BLUE CROSS/ BLUE SHIELD

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