National Provider Identifier Database

PHILLIP D TIDWELL
Pulmonary Diagnostics

Included in the area of pulmonary diagnostics are the following; collection and analysis of physiological specimens, interpretation of physiological data, administration of tests of the cardiopulmonary system, and the conduct of both neurophysiological and sleep disorders studies.


Contact Information

PHILLIP D TIDWELL
2148 AZTEC DR
DYERSBURG, TN38024-1841
Phone: 731-589-6156
Fax: 615-467-8971
Website:
Specialty Taxonomy Code
* Pulmonary Diagnostics 2279P1004X

* Indicates primary specialty

NPI Profile & details for PHILLIP D TIDWELL

NPI Number 1659680114
Credentials
Entity Individual
Enumeration date 10/01/2010
Last updated 06/12/2013 - About 13 years ago
Sole proprietor1 Yes
Identifiers
  • TN License #: RRT0000000395
Hospital affiliation n/a

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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