National Provider Identifier Database

HUMBOLDT FAMILY WALK IN CLINIC LLC
Rural Health


Contact Information

HUMBOLDT FAMILY WALK-IN CLINIC LLC
2500 NORTH CENTRAL AVE,
SUITE D
HUMBOLDT, TN38343
Phone: 731-470-4020
Fax: 731-562-0349
Specialty Taxonomy Code
* Rural Health 261QR1300X

* Indicates primary specialty

NPI Profile & details for HUMBOLDT FAMILY WALK-IN CLINIC LLC

NPI Number 1881135895
Legal business name
LBN
HUMBOLDT FAMILY WALK-IN CLINIC LLC
Authorized official DEBORAH GRAVES - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 03/10/2017
Last updated 12/09/2019 - About 6 years ago
Sole proprietor1 Not specified
Identifiers 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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