Tsao, Jack W

Tsao, Jack W is an individual health care provider with primary practice located at 1331 Union Ave Ste 1145 , Memphis TN 38104-7509. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Behavioral Neurology & Neuropsychiatry, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Tsao, Jack W can be contacted via phone (901) 448-7674.

Contact Information

Primary practice address
1331 Union Ave Ste 1145 Memphis TN 38104-7509
Phone: (901) 448-7674
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Behavioral Neurology & Neuropsychiatry 2084B0040X 51145 Tennessee
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 310245 New York
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 51145 Tennessee

Profile Details

NPI number 1437135084
LBN Legal business name Tsao, Jack W
Credentials MD, DPHIL
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 15th, 2005
Last updated Apr 25th, 2023 - about 2 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 1437135084 NPPES
Tennessee MEDICAID Q031283
Tennessee MEDICAID 226224001
Tennessee MEDICAID 1437135084
Tennessee MEDICAID 03882085

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