Dudley, Bunyan Stephens

Dudley, Bunyan Stephens is an individual health care provider with primary practice located at 4220 Harding Pike S&E Building Suite 200, Nashville TN 37205-2005. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecologic Oncology, which is considered as his primary health care specialty. Dudley, Bunyan Stephens can be contacted via phone (615) 385-3751.

Contact Information

Primary practice address
4220 Harding Pike S&E Building Suite 200 Nashville TN 37205-2005
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecologic Oncology 207VX0201X MD011965 Tennessee

Profile Details

NPI number 1609878586
LBN Legal business name Dudley, Bunyan Stephens
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2005
Last updated Jun 10th, 2015 - about 9 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 1609878586 NPPES
Tennessee MEDICAID 30195001
Tennessee Other 4169281
Tennessee MEDICAID 3717275
Tennessee MEDICAID 3019501

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