Carlton, Stacey B
Carlton, Stacey B is an individual health care provider with primary practice located at 229 Interstate Dr Ste 105 , Crossville TN 38555-2704. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Carlton, Stacey B can be contacted via phone (931) 981-9809.Contact Information
Primary practice address
229 Interstate Dr Ste 105
Crossville TN 38555-2704
Phone: (931) 981-9809
Fax: (931) 456-2844
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 25887 | Tennessee |
Profile Details
| NPI number | 1619976941 |
|---|---|
| LBN Legal business name | Carlton, Stacey B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 19th, 2005 |
| Last updated | Oct 21st, 2020 - 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 | 1619976941 | NPPES |
| Tennessee | MEDICAID | 38490581 |
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