Tidwell, Phillip D

Tidwell, Phillip D is an sole proprietor health care provider with primary practice located at 2148 Aztec Dr , Dyersburg TN 38024-1841. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pulmonary Diagnostics, which is considered as his primary health care specialty. Tidwell, Phillip D can be contacted via phone (731) 589-6156.

Contact Information

Primary practice address
2148 Aztec Dr Dyersburg TN 38024-1841
Phone: (731) 589-6156
Fax: (615) 467-8971
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pulmonary Diagnostics 2279P1004X RRT0000000395 Tennessee

Profile Details

NPI number 1659680114
LBN Legal business name Tidwell, Phillip D
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 1st, 2010
Last updated Jun 12th, 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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