Fry, Stephen W

Fry, Stephen W is an individual health care provider with primary practice located at 10461 Wallace Alley St , Kingsport TN 37663-3936. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Fry, Stephen W can be contacted via phone (423) 279-1400.

Contact Information

Primary practice address
10461 Wallace Alley St Kingsport TN 37663-3936
Phone: (423) 279-1400
Fax: (423) 279-1410
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 28164 Tennessee

Profile Details

NPI number 1750382982
LBN Legal business name Fry, Stephen W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2005
Last updated Oct 1st, 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 1750382982 NPPES
Tennessee MEDICAID 3801747

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