Obi, Patricia Renee

Obi, Patricia Renee is an individual health care provider with primary practice located at 168 W University Pkwy Ste A&B, Jackson TN 38305-1624. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Obi, Patricia Renee can be contacted via phone (731) 512-0043.

Contact Information

Primary practice address
168 W University Pkwy Ste A&B Jackson TN 38305-1624
Phone: (731) 512-0043
Fax: (731) 512-0015
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 017895 Tennessee

Profile Details

NPI number 1043213150
LBN Legal business name Obi, Patricia Renee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2005
Last updated Mar 18th, 2010 - about 14 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 1043213150 NPPES
Tennessee MEDICAID 3377799
Tennessee Other 621861114

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