Healthcare Provider Details

I. General information

NPI: 1356522197
Provider Name (Legal Business Name): BI HUTCHISON BCHIS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/20/2007
Last Update Date: 11/20/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5653 FRIST BLVD STE 231
HERMITAGE TN
37076-2062
US

IV. Provider business mailing address

5653 FRIST BLVD STE 231
HERMITAGE TN
37076-2062
US

V. Phone/Fax

Practice location:
  • Phone: 615-885-2625
  • Fax: 615-885-8059
Mailing address:
  • Phone: 615-885-2625
  • Fax: 615-885-8059

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number0000000529
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: