Averett, Stephen L
Averett, Stephen L is an sole proprietor health care provider with primary practice located at 62 Medical Dr , Linden TN 37096-3327. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Averett, Stephen L can be contacted via phone (931) 589-2222.Contact Information
Primary practice address
62 Medical Dr
Linden TN 37096-3327
Phone: (931) 589-2222
Fax: (931) 589-2400
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 11696 | Tennessee |
Profile Details
| NPI number | 1063512390 |
|---|---|
| LBN Legal business name | Averett, Stephen L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 25th, 2006 |
| Last updated | Feb 5th, 2021 - about 5 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 | 1063512390 | NPPES |
| Tennessee | MEDICAID | 3189276 |
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