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
Fax: (901) 226-1707
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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