Vanderwalde, Noam A

Vanderwalde, Noam A is an sole proprietor health care provider with primary practice located at 7945 Wolf River Blvd , Germantown TN 38138-1733. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Vanderwalde, Noam A can be contacted via phone (901) 683-0055.

Contact Information

Primary practice address
7945 Wolf River Blvd Germantown TN 38138-1733
Phone: (901) 683-0055
Fax: (901) 685-2969
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 51603 Tennessee
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 23666 Mississippi

Profile Details

NPI number 1285869362
LBN Legal business name Vanderwalde, Noam A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 19th, 2009
Last updated Apr 5th, 2016 - about 10 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 1285869362 NPPES
Mississippi MEDICAID 08408361
Mississippi MEDICAID Q009036

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