Concepcion, Raoul S

Concepcion, Raoul S is an sole proprietor health care provider with primary practice located at 28 White Bridge Rd Suite 200, Nashville TN 37205-1499. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Concepcion, Raoul S can be contacted via phone (615) 290-0622.

Contact Information

Primary practice address
28 White Bridge Rd Suite 200 Nashville TN 37205-1499
Phone: (615) 290-0622
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X MD17400 Tennessee
Allopathic & Osteopathic Physicians / Urology 208800000X 37172 Kentucky

Profile Details

NPI number 1104801851
LBN Legal business name Concepcion, Raoul S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 14th, 2005
Last updated Apr 14th, 2017 - about 9 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 1104801851 NPPES
Tennessee Other 0108772 BLUE CROSS
Tennessee Other 340013316 BLUE CROSS
Tennessee MEDICAID 64797269 BLUE CROSS
Tennessee MEDICAID 3051346 BLUE CROSS

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