INGRAM CO; NPI #1578819033

Contact Information

INGRAM CO

367 RIVERSIDE DR
FRANKLIN, TN 37064-8984

Phone: 615-946-2730
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Adolescent Medicine	207QA0000X	08	Physician/Family Practice

Indicates primary specialty

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NPI Profile & details for INGRAM CO

NPI Number 1578819033

LBN Legal business name INGRAM CO

Authorized official JACK BUCARAT - (CEO)

Entity Organization

Organization subpart ¹ No

Enumeration date 08/01/2012

Last updated 09/18/2012 - About 14 years ago

Identifiers

License #

31548

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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