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
Fax: (901) 399-7973
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245242221 NPPES
Tennessee MEDICAID 3047477

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