Tusa, Vince Charles

Tusa, Vince Charles is an individual health care provider with primary practice located at 305 Tyson Ave , Paris TN 38242-4579. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Tusa, Vince Charles can be contacted via phone (731) 642-0025.

Contact Information

Primary practice address
305 Tyson Ave Paris TN 38242-4579
Fax: (731) 644-0899
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD0000010339 Tennessee

Profile Details

NPI number 1750363818
LBN Legal business name Tusa, Vince Charles
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2005
Last updated Jan 21st, 2013 - about 12 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 1750363818 NPPES
Tennessee MEDICAID 3170375
Tennessee Other P00044222

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