1700238516 NPI number — MEDICAL ACQUSITION

Table of content: (NPI 1700238516)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1700238516 NPI number — MEDICAL ACQUSITION

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MEDICAL ACQUSITION
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:
6
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:
1700238516
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/05/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2131 MURFREESBORO PIKE
Provider Second Line Business Mailing Address:
SUITE 203
Provider Business Mailing Address City Name:
NASHVILLE
Provider Business Mailing Address State Name:
TN
Provider Business Mailing Address Postal Code:
37217-3367
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
931-981-5086
Provider Business Mailing Address Fax Number:
615-864-7912

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2131 MURFREESBORO PIKE
Provider Second Line Business Practice Location Address:
SUITE 203
Provider Business Practice Location Address City Name:
NASHVILLE
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
37217-3367
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
931-981-5086
Provider Business Practice Location Address Fax Number:
615-864-7912
Provider Enumeration Date:
07/05/2016

Additional Information

Authorized Official

Authorized Official Last Name:
MCCULLER
Authorized Official First Name:
JOYCE
Authorized Official Middle Name:
YVONNE
Authorized Official Title or Position:
OWNER-OFFICE MANAGER
Authorized Official Telephone Number:
615-302-8134

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X , with the licence number:  1000000014397 , 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: Q021856 , issued by the state of ( TN ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2025 www.npivalidator.com