Fassbender, Evan Edward

Fassbender, Evan Edward is an individual health care provider with primary practice located at 6019 Walnut Grove Rd , Memphis TN 38120-2113. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Critical Care Medicine, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is his primary health care specialty. Fassbender, Evan Edward can be contacted via phone (901) 226-5000.

Contact Information

Primary practice address
6019 Walnut Grove Rd Memphis TN 38120-2113
Phone: (901) 226-5000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Critical Care Medicine 163WC0200X 194971 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 27968 Tennessee

Profile Details

NPI number 1790317626
LBN Legal business name Fassbender, Evan Edward
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2020
Last updated Aug 14th, 2020 - about 4 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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