Guillermo, Enrique
Guillermo, Enrique is an individual health care provider with primary practice located at 6019 Walnut Street , Memphis TN 38120. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Emergency Medical Services. Allopathic & Osteopathic Physicians / Emergency Medical Services is his primary health care specialty. Guillermo, Enrique can be contacted via phone (901) 226-3010.Contact Information
Primary practice address
6019 Walnut Street
Memphis TN 38120
Phone: (901) 226-3010
Fax: (901) 226-1707
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 27942 | Tennessee |
Allopathic & Osteopathic Physicians / Emergency Medical Services | 207PE0004X | E0557 | Arkansas |
Profile Details
NPI number | 1609815919 |
---|---|
LBN Legal business name | Guillermo, Enrique |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 5th, 2006 |
Last updated | Aug 27th, 2019 - about 5 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 | 1609815919 | NPPES |
Tennessee | Other | 3158388 | BLUE CROSS |
Tennessee | MEDICAID | 3832055 | BLUE CROSS |
Tennessee | MEDICAID | 00122634 | BLUE CROSS |
Tennessee | Other | P00232048 | BLUE CROSS |
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