1437101821 NPI number — WESLEY NEUROLOGY CLINIC PC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1437101821 NPI number — WESLEY NEUROLOGY CLINIC PC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
WESLEY NEUROLOGY CLINIC PC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1437101821
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/26/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 1885
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MEMPHIS
Provider Business Mailing Address State Name:
TN
Provider Business Mailing Address Postal Code:
38101-1885
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
901-725-8920
Provider Business Mailing Address Fax Number:
901-725-8936

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1211 UNION AVE
Provider Second Line Business Practice Location Address:
STE 400
Provider Business Practice Location Address City Name:
MEMPHIS
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
38104
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
901-725-8920
Provider Business Practice Location Address Fax Number:
901-725-8936
Provider Enumeration Date:
05/16/2006

Additional Information

Authorized Official

Authorized Official Last Name:
LUCAS
Authorized Official First Name:
JAMES
Authorized Official Middle Name:
R
Authorized Official Title or Position:
ADMINISTRATOR
Authorized Official Telephone Number:
901-725-8920

Provider Taxonomy Codes

  • Taxonomy code: 2084N0400X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 3703205 , issued by the state of ( TN ) . This identifiers is of the category "MEDICAID".
  • Identifier: 09013571 , issued by the state of ( MS ) . This identifiers is of the category "MEDICAID".
  • Identifier: 122543002 , issued by the state of ( AR ) . This identifiers is of the category "MEDICAID".




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