Depasquale, Stephen Ernest

Depasquale, Stephen Ernest is an sole proprietor health care provider with primary practice located at 102 Central Avenue , Chattanooga TN 37403-1503. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecologic Oncology, which is considered as his primary health care specialty. Depasquale, Stephen Ernest can be contacted via phone (423) 266-3636.

Contact Information

Primary practice address
102 Central Avenue Chattanooga TN 37403-1503
Phone: (423) 266-3636
Fax: (423) 266-3633
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecologic Oncology 207VX0201X 35113 Tennessee
Allopathic & Osteopathic Physicians / Gynecologic Oncology 207VX0201X 50154 Georgia

Profile Details

NPI number 1801848320
LBN Legal business name Depasquale, Stephen Ernest
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 16th, 2006
Last updated Jun 27th, 2012 - about 13 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801848320 NPPES
Georgia MEDICAID 000932071C

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