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Contact Information

BANCROFT OQUINN JR, MD
1405 WEST BADDOUR PARKWAY
SUITE 106
LEBANON, TN37087
 Phone: 615-444-6500
 Fax: 615-449-1306
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Otolaryngology

207Y00000X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for BANCROFT OQUINN JR · (Male)

NPI Number 1184640336
Status Active
Credentials MD
Entity Individual
Enumeration date 07/14/2006
Last updated 08/22/2024 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • TN License # 18417
  • TN License # MD0000018417
  • TN Medicaid 3029464
  • Other 4066065 AETNA
  • Other 73029 BLUUE CROSS
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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