TERRELL SEAN TATE BOCP CO NPI 1164929543

NPI Information

NPI: 1164929543
Provider Name: TERRELL SEAN TATE, BOCP, CO
Classification: Specialist - 1744P3200X
Entity Type: Individual

Specialization: Prosthetics Case Management

Address:
1661 INTERNATIONAL DRIVE
SUITE 400
MEMPHIS, TN
ZIP 38120
Phone: (901) 340-2008
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Terrell Sean Tate, BOCP, CO is a prosthetics case management specialist in Memphis, TN. Terrell Sean Tate, BOCP, CO NPI is 1164929543. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1661 INTERNATIONAL DRIVE
SUITE 400
MEMPHIS, TN
ZIP 38120-431
Phone: (901) 340-2008

The enumeration date for this NPI number is 4/11/2018 and was last updated on 5/28/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1744P3200X	Specialist	Prosthetics Case Management	PRO130	TENNESSEE	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	PRO130	OTHER	TENNESSEE	TN DEPT OF HEALTH DIVISION OF RELATED BOARDS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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