Brockenshire, Caitlin Moran
Brockenshire, Caitlin Moran is an individual health care provider with primary practice located at 6325 Humphreys Blvd , Memphis TN 38120-2300. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Vascular Neurology. Allopathic & Osteopathic Physicians / Neurology is her primary health care specialty. Brockenshire, Caitlin Moran can be contacted via phone (901) 522-7700.Contact Information
Primary practice address
6325 Humphreys Blvd
Memphis TN 38120-2300
Phone: (901) 522-7700
Fax: (901) 522-2600
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 67573 | Tennessee |
| Allopathic & Osteopathic Physicians / Vascular Neurology | 2084V0102X | 67573 | Tennessee |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 33205 | Mississippi |
Profile Details
| NPI number | 1053974949 |
|---|---|
| LBN Legal business name | Brockenshire, Caitlin Moran |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 17th, 2019 |
| Last updated | Jul 17th, 2024 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053974949 | NPPES |
| Mississippi | MEDICAID | 200010535 | |
| Mississippi | MEDICAID | Q050407 |
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