1093838187 NPI number — PAUL WILLIAM HUTCHISON, DPM

Table of content: (NPI 1093838187)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1093838187 NPI number — PAUL WILLIAM HUTCHISON, DPM

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
PAUL WILLIAM HUTCHISON, DPM
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:
1093838187
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/15/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
7878 WINCHESTER RD.
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:
38125
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
901-365-3668
Provider Business Mailing Address Fax Number:
901-362-7099

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7878 WINCHESTER ROAD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MEMPHIS
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
38125
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
901-365-3668
Provider Business Practice Location Address Fax Number:
901-362-7099
Provider Enumeration Date:
04/06/2007

Additional Information

Authorized Official

Authorized Official Last Name:
HUTCHISON
Authorized Official First Name:
PAUL
Authorized Official Middle Name:
W
Authorized Official Title or Position:
OWNER/PODIATRIST
Authorized Official Telephone Number:
901-365-3668

Provider Taxonomy Codes

  • Taxonomy code: 213EP1101X , with the licence number:  DPM475 , registered in the state of TN ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 213ES0131X , with the licence number: DPM475 , registered in the state of TN ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 480021016 . This is a "RAILROAD MEDICARE" identifier . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com