Gantte, Stephen C

Gantte, Stephen C is an individual health care provider with primary practice located at 120 Hospital Dr Ste 130, Jefferson City TN 37760-5279. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Gantte, Stephen C can be contacted via phone (865) 475-4742.

Contact Information

Primary practice address
120 Hospital Dr Ste 130 Jefferson City TN 37760-5279
Fax: (865) 475-4742
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 34928 Tennessee

Profile Details

NPI number 1518963255
LBN Legal business name Gantte, Stephen C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2005
Last updated Jul 8th, 2007 - about 17 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 1518963255 NPPES
Tennessee MEDICAID 3871928

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