Baggett, Larry

Baggett, Larry is an individual health care provider with primary practice located at 3794 Park Ave , Memphis TN 38111-6649. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Baggett, Larry can be contacted via phone (901) 323-7970.

Contact Information

Primary practice address
3794 Park Ave Memphis TN 38111-6649
Phone: (901) 323-7970
Fax: (901) 323-0061
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X DPM285 Tennessee

Profile Details

NPI number 1437278397
LBN Legal business name Baggett, Larry
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2007
Last updated Jan 23rd, 2019 - about 6 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 1437278397 NPPES
Tennessee MEDICAID 3351088

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