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
Phone: (731) 422-0305
Fax: (731) 422-0357
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1902891914 | NPPES |
Tennessee | MEDICAID | 3190854 |
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