Moore, Stephen T

Moore, Stephen T is an sole proprietor health care provider with primary practice located at 1101 Neal St Suite 102, Cookeville TN 38501-0917. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Moore, Stephen T can be contacted via phone (931) 526-1581.

Contact Information

Primary practice address
1101 Neal St Suite 102 Cookeville TN 38501-0917
Phone: (931) 526-1581
Fax: (931) 526-5973
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X DO0000001305 Tennessee

Profile Details

NPI number 1083643589
LBN Legal business name Moore, Stephen T
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 30th, 2006
Last updated Jul 14th, 2014 - about 11 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 1083643589 NPPES
Tennessee MEDICAID 3305996
Tennessee Other 621833951
Tennessee Other 3158681

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