Healthcare Provider Details
I. General information
NPI: 1538494471
Provider Name (Legal Business Name): NASHVILLE HIP & PELVIS INSTITUTE, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/09/2009
Last Update Date: 04/22/2010
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
345 23RD AVE N SUITE 301
NASHVILLE TN
37203-1513
US
IV. Provider business mailing address
345 23RD AVE N SUITE 301
NASHVILLE TN
37203-1513
US
V. Phone/Fax
- Phone: 615-369-9899
- Fax: 615-369-9899
- Phone: 615-369-9899
- Fax: 615-369-9899
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207XX0801X |
| Taxonomy | Orthopaedic Trauma Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
PHILIP
J
KREGOR
Title or Position: OWNER/PHYSICIAN
Credential: MD
Phone: 615-369-9899