Tatum, William Louis

Tatum, William Louis is an individual health care provider with primary practice located at 425 W Washington St , Suffolk VA 23434-5320. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Tatum, William Louis can be contacted via phone (757) 925-2013.

Contact Information

Primary practice address
425 W Washington St Suffolk VA 23434-5320
Phone: (757) 925-2013
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 05749 Virginia

Profile Details

NPI number 1326064833
LBN Legal business name Tatum, William Louis
Credentials BS
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 15th, 2006
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326064833 NPPES
Virginia Other 0004449861 STATE TAX ID
Virginia Other 4820999 STATE TAX ID

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