Roe, Stephen M

Roe, Stephen M is an individual health care provider with primary practice located at 979 E 3Rd St Ste 300, Chattanooga TN 37403-2136. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Roe, Stephen M can be contacted via phone (423) 267-0466.

Contact Information

Primary practice address
979 E 3Rd St Ste 300 Chattanooga TN 37403-2136
Phone: (423) 267-0466
Fax: (423) 778-8168
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MD20301 Tennessee
Allopathic & Osteopathic Physicians / Surgery 208600000X MD20301 Tennessee

Profile Details

NPI number 1790779353
LBN Legal business name Roe, Stephen M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 9th, 2005
Last updated Feb 11th, 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 1790779353 NPPES
Other 1740070 UHC
MEDICAID 009204010 UHC
MEDICAID 890646H UHC
Other 122398 UHC
Other 020041422 UHC
Other 2587123 001 UHC
Other 62165877402 UHC
MEDICAID 00456057F UHC
MEDICAID Q002555 UHC

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