Altenbern, Douglas C

Altenbern, Douglas C is an individual health care provider with primary practice located at 395 Wallace Rd Ste 206B, Nashville TN 37211-4881. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Altenbern, Douglas C can be contacted via phone (615) 331-8281.

Contact Information

Primary practice address
395 Wallace Rd Ste 206B Nashville TN 37211-4881
Phone: (615) 331-8281
Fax: (615) 331-3043
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X MD21659 Tennessee

Profile Details

NPI number 1124005145
LBN Legal business name Altenbern, Douglas C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 30th, 2005
Last updated Jul 8th, 2007 - about 17 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 1124005145 NPPES
Tennessee Other 340013309 RR MEDICARE
Tennessee MEDICAID 64799521 RR MEDICARE
Tennessee MEDICAID 3060807 RR MEDICARE
Tennessee Other 0127086 RR MEDICARE

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