Waldrup, Phillip Dewayne
Waldrup, Phillip Dewayne is an individual health care provider with primary practice located at 8945 Claiborne Farm Dr , Germantown TN 38138-8244. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Waldrup, Phillip Dewayne can be contacted via phone (901) 748-0468.Contact Information
Primary practice address
8945 Claiborne Farm Dr
Germantown TN 38138-8244
Phone: (901) 748-0468
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 0000028438 | Tennessee |
Profile Details
| NPI number | 1619917275 |
|---|---|
| LBN Legal business name | Waldrup, Phillip Dewayne |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619917275 | NPPES |
| Arkansas | MEDICAID | 133314001 |
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