Deflumere, Charlotte A

Deflumere, Charlotte A is an sole proprietor health care provider with primary practice located at 1068 Cresthaven Rd Suite 110, Memphis TN 38119-0800. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Deflumere, Charlotte A can be contacted via phone (901) 405-6470.

Contact Information

Primary practice address
1068 Cresthaven Rd Suite 110 Memphis TN 38119-0800
Phone: (901) 405-6470
Fax: (901) 747-2338
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD0000020004 Tennessee

Profile Details

NPI number 1457354599
LBN Legal business name Deflumere, Charlotte A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 23rd, 2005
Last updated Sep 11th, 2012 - about 12 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 1457354599 NPPES
Tennessee Other 4417762 AETNA
Tennessee MEDICAID 5007925 AETNA
Tennessee Other 627127667 AETNA
Tennessee Other 3106698 AETNA
Tennessee Other 110214654 AETNA
Tennessee MEDICAID 3826001 AETNA

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