Birdwell, Joel Stanley

Birdwell, Joel Stanley is an individual health care provider with primary practice located at 1801 N Jackson St , Tullahoma TN 37388-2201. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Birdwell, Joel Stanley can be contacted via phone (931) 393-3000.

Contact Information

Primary practice address
1801 N Jackson St Tullahoma TN 37388-2201
Phone: (931) 393-3000
Fax: (931) 393-7806
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD0000012816 Tennessee

Profile Details

NPI number 1932195351
LBN Legal business name Birdwell, Joel Stanley
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 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 1932195351 NPPES
Tennessee MEDICAID 2002466

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