Holtzclaw, Stephen
Holtzclaw, Stephen is an sole proprietor health care provider with primary practice located at 265 Brookview Centre Way Suite 400, Knoxville TN 37919-4049. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Holtzclaw, Stephen can be contacted via phone (865) 293-5310.Contact Information
Primary practice address
265 Brookview Centre Way Suite 400
Knoxville TN 37919-4049
Phone: (865) 293-5310
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | D42658 | Maryland |
Profile Details
| NPI number | 1013960871 |
|---|---|
| LBN Legal business name | Holtzclaw, Stephen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 19th, 2006 |
| Last updated | Mar 20th, 2017 - about 7 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 | 1013960871 | NPPES |
| Maryland | MEDICAID | 216711500 |
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