Kolwaite, Patrick A

Kolwaite, Patrick A is an sole proprietor health care provider with primary practice located at 2465 Whitten Rd Suite 104, Memphis TN 38133-4722. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Kolwaite, Patrick A can be contacted via phone (901) 386-0811.

Contact Information

Primary practice address
2465 Whitten Rd Suite 104 Memphis TN 38133-4722
Fax: (901) 386-0812
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X TN1842 Tennessee

Profile Details

NPI number 1932189925
LBN Legal business name Kolwaite, Patrick A
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 18th, 2006
Last updated Jul 8th, 2007 - about 17 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 1932189925 NPPES
Tennessee Other RR MEDICARE RR MEDICARE
Tennessee Other U91606 RR MEDICARE
Tennessee Other 4036773 RR MEDICARE

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