Wake, Robert W

Wake, Robert W is an individual health care provider with primary practice located at 6555 Quince Rd , Memphis TN 38119-8202. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Wake, Robert W can be contacted via phone (901) 515-5704.

Contact Information

Primary practice address
6555 Quince Rd Memphis TN 38119-8202
Phone: (901) 515-5704
Fax: (901) 515-5729
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 17572 Tennessee

Profile Details

NPI number 1982661088
LBN Legal business name Wake, Robert W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2006
Last updated Mar 3rd, 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 1982661088 NPPES
Tennessee Other P01245913 RAILROAD MEDICARE
Tennessee MEDICAID 117837001 RAILROAD MEDICARE
Tennessee MEDICAID Q002427 RAILROAD MEDICARE
Tennessee MEDICAID 00010307 RAILROAD MEDICARE
Tennessee Other 4355718 RAILROAD MEDICARE

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