National Provider Identifier Database

UT MEDICAL GROUP INC
Children


Contact Information

UT MEDICAL GROUP, INC,
877 JEFFERSON AVE
MEMPHIS, TN38103-2807
Phone: 901-545-7366
Fax:
Website:
Specialty Taxonomy Code
* Children 282NC2000X

* Indicates primary specialty

NPI Profile & details for UT MEDICAL GROUP, INC,

NPI Number 1154675072
Legal business name
LBN
UT MEDICAL GROUP, INC,
Authorized official RICHARD BAER - (CHIEF OPERATING OFFICER)
Entity Organization
Organization subpart No
Enumeration date 10/30/2012
Last updated 10/30/2012 - About 14 years ago
Sole proprietor1 Not specified
Identifiers
  • TN License #: 15537

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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