Basic Information
Provider Information
NPI: 1790768166
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ALBERS
FirstName: WILLIAM
MiddleName: E
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1400 S GERMANTOWN RD
Address2:  
City: GERMANTOWN
State: TN
PostalCode: 381382205
CountryCode: US
TelephoneNumber: 9017593100
FaxNumber:  
Practice Location
Address1: 1400 S GERMANTOWN RD
Address2:  
City: GERMANTOWN
State: TN
PostalCode: 381382205
CountryCode: US
TelephoneNumber: 9017593100
FaxNumber:  
Other Information
ProviderEnumerationDate: 11/21/2005
LastUpdateDate: 08/17/2010
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207X00000X40073TNY Allopathic & Osteopathic PhysiciansOrthopaedic Surgery 

No ID Information.


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