Percelay, Stephen H
Percelay, Stephen H is an individual health care provider with primary practice located at 651 Dunlop Ln , Clarksville TN 37040-5015. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Percelay, Stephen H can be contacted via phone (931) 502-1000.Contact Information
Primary practice address
651 Dunlop Ln
Clarksville TN 37040-5015
Phone: (931) 502-1000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X |
Profile Details
| NPI number | 1568437044 |
|---|---|
| LBN Legal business name | Percelay, Stephen H |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 20th, 2006 |
| Last updated | Jun 9th, 2008 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568437044 | NPPES |
| Other | 4035743 | BCBS CIC | |
| Other | 300050066 | BCBS CIC | |
| Other | 300133944 | BCBS CIC | |
| Other | 3030831 | BCBS CIC | |
| MEDICAID | 3092082 | BCBS CIC |
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