Healthcare Provider Details

I. General information

NPI: 1083807358
Provider Name (Legal Business Name): MEDICAL NECESSITIES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/21/2007
Last Update Date: 04/20/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

102 BOYD ST
ASHLAND CITY TN
37015-1601
US

IV. Provider business mailing address

607 W DUE WEST AVE
MADISON TN
37115-4431
US

V. Phone/Fax

Practice location:
  • Phone: 615-792-3214
  • Fax: 615-792-4570
Mailing address:
  • Phone: 615-865-6269
  • Fax: 615-865-4169

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2081P2900X
TaxonomyPain Medicine (Physical Medicine & Rehabilitation) Physician
License Number16522
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number1864
License Number StateTN
# 3
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number16522
License Number StateTN

VIII. Authorized Official

Name: DR. DONALD JOSEPH BOATRIGHT
Title or Position: MEDICAL DIRECTOR
Credential: M.D.
Phone: 615-792-3214