Musgrove, Paul R
Musgrove, Paul R is an individual health care provider with primary practice located at 650 Joel Dr , Fort Campbell KY 42223-5318. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Musgrove, Paul R can be contacted via phone (931) 920-4644.Contact Information
Primary practice address
650 Joel Dr
Fort Campbell KY 42223-5318
Phone: (931) 920-4644
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | 101 | Tennessee |
Profile Details
| NPI number | 1720167984 |
|---|---|
| LBN Legal business name | Musgrove, Paul R |
| Credentials | ATC/L, CSCS, FTC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 6th, 2006 |
| Last updated | Dec 7th, 2023 - about last year |
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 | 1720167984 | NPPES |
| Tennessee | Other | 101 | STATE OF TN MEDICAL BOARDS |
| Tennessee | Other | 000090496 | STATE OF TN MEDICAL BOARDS |
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