Alfredson, David

Alfredson, David is an individual health care provider with primary practice located at 529 W Commerce St , Lewisburg TN 37091-3219. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Alfredson, David can be contacted via phone (931) 276-2234.

Contact Information

Primary practice address
529 W Commerce St Lewisburg TN 37091-3219
Fax: (931) 276-2233
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD 13280 Tennessee
Allopathic & Osteopathic Physicians / General Practice 208D00000X MD 13280 Tennessee

Profile Details

NPI number 1720105547
LBN Legal business name Alfredson, David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 25th, 2007
Last updated Feb 16th, 2015 - about 9 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 1720105547 NPPES
Tennessee Other 149997 BLUE CROSS BLUE SHIELD TN
Tennessee MEDICAID 3185437 BLUE CROSS BLUE SHIELD TN

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