Tate, Terrell Sean

Tate, Terrell Sean is an sole proprietor health care provider with primary practice located at 1661 International Drive Suite 400, Memphis TN 38120-1431. He recently has only one registered license in Other Service Providers / Prosthetics Case Management, which is considered as his primary health care specialty. Tate, Terrell Sean can be contacted via phone (901) 340-2008.

Contact Information

Primary practice address
1661 International Drive Suite 400 Memphis TN 38120-1431
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Prosthetics Case Management 1744P3200X PRO130 Tennessee

Profile Details

NPI number 1164929543
LBN Legal business name Tate, Terrell Sean
Credentials BOCP, CO
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 11th, 2018
Last updated May 28th, 2021 - about 3 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 1164929543 NPPES
Tennessee Other PRO130 TN DEPT OF HEALTH DIVISION OF RELATED BOARDS

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