Duval, John W

Duval, John W is an individual health care provider with primary practice located at 700 W Forest Ave Ste 300, Jackson TN 38301-3937. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Duval, John W can be contacted via phone (731) 422-0305.

Contact Information

Primary practice address
700 W Forest Ave Ste 300 Jackson TN 38301-3937
Fax: (731) 422-0357
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 13944 Tennessee

Profile Details

NPI number 1902891914
LBN Legal business name Duval, John W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2005
Last updated Feb 14th, 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 1902891914 NPPES
Tennessee MEDICAID 3190854

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