Monks, Philip M

Monks, Philip M is an sole proprietor health care provider with primary practice located at 108 Medical Center Blvd , Fayetteville TN 37334-2741. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Radiography, which is considered as his primary health care specialty. Monks, Philip M can be contacted via phone (931) 438-9085.

Contact Information

Primary practice address
108 Medical Center Blvd Fayetteville TN 37334-2741
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Radiography 2471C3402X MDX0000003440 Tennessee

Profile Details

NPI number 1619065570
LBN Legal business name Monks, Philip M
Credentials Radiologic Technologist (RT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 10th, 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 1619065570 NPPES
Tennessee Other 4011132 BCBS

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