Delk, Sam

Delk, Sam is an sole proprietor health care provider with primary practice located at 1325 Eastmoreland Ave Ste 440 , Memphis TN 38104-7554. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Delk, Sam can be contacted via phone (901) 725-0421.

Contact Information

Primary practice address
1325 Eastmoreland Ave Ste 440 Memphis TN 38104-7554
Fax: (901) 278-4675
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 37329 Tennessee

Profile Details

NPI number 1922026707
LBN Legal business name Delk, Sam
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 18th, 2006
Last updated Sep 19th, 2023 - about 2 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 1922026707 NPPES
Tennessee MEDICAID 3003101
Tennessee Other 0037329
Tennessee MEDICAID 114202001

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