Northcross, Phillip R
Northcross, Phillip R is an sole proprietor health care provider with primary practice located at 3440 Poplar Ave Suite 13, Memphis TN 38111-4653. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Northcross, Phillip R can be contacted via phone (901) 523-7781.Contact Information
Primary practice address
3440 Poplar Ave Suite 13
Memphis TN 38111-4653
Phone: (901) 523-7781
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD017326 | Tennessee |
Profile Details
| NPI number | 1831166677 |
|---|---|
| LBN Legal business name | Northcross, Phillip R |
| Credentials | M.C. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 1st, 2006 |
| Last updated | Jun 17th, 2016 - about 8 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 | 1831166677 | NPPES |
| Tennessee | MEDICAID | 3020931 | |
| Tennessee | Other | 3061799 |
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