Aguayo, Bobby Patrick

Aguayo, Bobby Patrick is an individual health care provider with primary practice located at 118 Hwy 70 E Suite 6, Dickson TN 37055-7039. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Aguayo, Bobby Patrick can be contacted via phone (615) 810-8440.

Contact Information

Primary practice address
118 Hwy 70 E Suite 6 Dickson TN 37055-7039
Phone: (615) 810-8440
Fax: (615) 810-8441
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 13099 Tennessee

Profile Details

NPI number 1780866335
LBN Legal business name Aguayo, Bobby Patrick
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2007
Last updated Dec 27th, 2010 - about 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780866335 NPPES
Tennessee MEDICAID 1514542
Tennessee Other 3720916

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