Souder, Marva L
Souder, Marva L is an individual health care provider with primary practice located at 2900 Kirby Rd Suite 11, Memphis TN 38119-8221. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics, which is considered as her primary health care specialty. Souder, Marva L can be contacted via phone (901) 345-4640.Contact Information
Primary practice address
2900 Kirby Rd Suite 11
Memphis TN 38119-8221
Phone: (901) 345-4640
Fax: (901) 399-7973
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Obstetrics | 207VX0000X | 19036 | Tennessee |
Profile Details
NPI number | 1245242221 |
---|---|
LBN Legal business name | Souder, Marva L |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 11th, 2006 |
Last updated | Dec 26th, 2013 - about 11 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 | 1245242221 | NPPES |
Tennessee | MEDICAID | 3047477 |
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