Ilabaca, Patricio A
Ilabaca, Patricio A is an individual health care provider with primary practice located at 6027 Walnut Grove Rd Suite 114, Memphis TN 38120-2145. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Ilabaca, Patricio A can be contacted via phone (901) 683-6161.Contact Information
Primary practice address
6027 Walnut Grove Rd Suite 114
Memphis TN 38120-2145
Phone: (901) 683-6161
Fax: (901) 683-7998
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 9582 | Tennessee |
Profile Details
NPI number | 1255381406 |
---|---|
LBN Legal business name | Ilabaca, Patricio A |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 10th, 2006 |
Last updated | Oct 29th, 2010 - about 14 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 | 1255381406 | NPPES |
Mississippi | MEDICAID | 09015252 |
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