1437347580 NPI number — DR. DUANE LLEWELLYN PATRICK IV D.C.

Table of content: DR. DUANE LLEWELLYN PATRICK IV D.C. (NPI 1437347580)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1437347580 NPI number — DR. DUANE LLEWELLYN PATRICK IV D.C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
PATRICK
Provider First Name:
DUANE
Provider Middle Name:
LLEWELLYN
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
IV
Provider Credential Text:
D.C.
Provider Gender Code:
M

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:
1437347580
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/18/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
35 LAWRENCE ST
Provider Second Line Business Mailing Address:
P.O. BOX 206
Provider Business Mailing Address City Name:
MC KENZIE
Provider Business Mailing Address State Name:
TN
Provider Business Mailing Address Postal Code:
38201-2675
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
731-352-7161
Provider Business Mailing Address Fax Number:
731-352-2044

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
35 LAWRENCE ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MC KENZIE
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
38201-2675
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
731-352-7161
Provider Business Practice Location Address Fax Number:
731-352-2044
Provider Enumeration Date:
10/12/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 111N00000X , with the licence number:  2219 , 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)





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