Eubanks, James Wallace

Eubanks, James Wallace is an individual health care provider with primary practice located at 51 N Dunlap St , Memphis TN 38105-4625. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Surgery, which is considered as his primary health care specialty. Eubanks, James Wallace can be contacted via phone (901) 287-6760.

Contact Information

Primary practice address
51 N Dunlap St Memphis TN 38105-4625
Phone: (901) 287-6760
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X MD28486 Tennessee

Profile Details

NPI number 1790739027
LBN Legal business name Eubanks, James Wallace
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2006
Last updated May 9th, 2018 - about 6 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 1790739027 NPPES
Mississippi MEDICAID 00126905
Mississippi MEDICAID 152684001
Mississippi MEDICAID 3875092

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