Upchurch, Katherine Anne

Upchurch, Katherine Anne is an sole proprietor health care provider with primary practice located at 6191 Park Ave , Memphis TN 38119-5399. She recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as her primary health care specialty. Upchurch, Katherine Anne can be contacted via phone (901) 260-1378.

Contact Information

Primary practice address
6191 Park Ave Memphis TN 38119-5399
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 2081S0010X 1209 Tennessee

Profile Details

NPI number 1306470042
LBN Legal business name Upchurch, Katherine Anne
Credentials MS, ATC, CSCS, LAT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 2nd, 2020
Last updated Mar 2nd, 2020 - about 5 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 1306470042 NPPES
Tennessee Other 1209 STATE OF TENNESSEE DIVISION OF HEALTH RELATED BOARDS

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