Wainscott, William Keith

Wainscott, William Keith is an individual health care provider with primary practice located at 619 Skyline Dr , Jackson TN 38301-3903. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Wainscott, William Keith can be contacted via phone (731) 424-3682.

Contact Information

Primary practice address
619 Skyline Dr Jackson TN 38301-3903
Fax: (731) 423-2714
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X MD14074 Tennessee

Profile Details

NPI number 1700878501
LBN Legal business name Wainscott, William Keith
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2005
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 1700878501 NPPES
Tennessee MEDICAID 3196631

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