Autry, Stephen T
Autry, Stephen T is an individual health care provider with primary practice located at 8099 Cornell Rd , Cincinnati OH 45249-2231. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Autry, Stephen T can be contacted via phone (513) 793-3933.Contact Information
Primary practice address
8099 Cornell Rd
Cincinnati OH 45249-2231
Phone: (513) 793-3933
Fax: (513) 793-8299
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | 35-04-1944-A | Ohio |
Profile Details
| NPI number | 1316951726 |
|---|---|
| LBN Legal business name | Autry, Stephen T |
| Credentials | M.D.,MBA |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 28th, 2006 |
| Last updated | Apr 1st, 2009 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316951726 | NPPES |
| Ohio | MEDICAID | 0455323 | |
| Ohio | Other | 200011776 |
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