Chisholm, Patricia A

Chisholm, Patricia A is an individual health care provider with primary practice located at 6027 Walnut Grove Suite 110, Memphis TN 38120. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Chisholm, Patricia A can be contacted via phone (901) 226-3520.

Contact Information

Primary practice address
6027 Walnut Grove Suite 110 Memphis TN 38120
Phone: (901) 226-3520
Fax: (901) 226-2012
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 39713 Tennessee

Profile Details

NPI number 1992706113
LBN Legal business name Chisholm, Patricia A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2005
Last updated Nov 9th, 2012 - about 13 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 1992706113 NPPES
Tennessee MEDICAID 33366301

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