Reeves, Wade Park
Reeves, Wade Park is an individual health care provider with primary practice located at 6041 Telecom Dr , Milan TN 38358-3448. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Reeves, Wade Park can be contacted via phone (731) 686-1505.Contact Information
Primary practice address
6041 Telecom Dr
Milan TN 38358-3448
Phone: (731) 686-1505
Fax: (731) 686-8174
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD18091 | Tennessee |
Profile Details
| NPI number | 1497731376 |
|---|---|
| LBN Legal business name | Reeves, Wade Park |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 21st, 2005 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497731376 | NPPES |
| Tennessee | MEDICAID | 3043079 |
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