Magpantay, Edmundo Diego

Magpantay, Edmundo Diego is an individual health care provider with primary practice located at 339 White Bridge Pike , Nashville TN 37209-3208. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Magpantay, Edmundo Diego can be contacted via phone (615) 356-6877.

Contact Information

Primary practice address
339 White Bridge Pike Nashville TN 37209-3208
Phone: (615) 356-6877
Fax: (615) 356-8270
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X MD7717 Tennessee

Profile Details

NPI number 1770577413
LBN Legal business name Magpantay, Edmundo Diego
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 8th, 2005
Last updated Dec 24th, 2007 - about 18 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 1770577413 NPPES
Tennessee Other 4019336 BLUE CROSS BLUE SHIELD TN

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