Stenberg, Brent E

Stenberg, Brent E is an individual health care provider with primary practice located at 3950 Central Ave , Memphis TN 38111-7602. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Stenberg, Brent E can be contacted via phone (901) 458-6291.

Contact Information

Primary practice address
3950 Central Ave Memphis TN 38111-7602
Fax: (901) 323-4848
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X P0000000785 Tennessee

Profile Details

NPI number 1427058494
LBN Legal business name Stenberg, Brent E
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2005
Last updated Feb 4th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427058494 NPPES
Tennessee Other 0026177 TN BLUE CROSS BLUE SHIELD
Tennessee Other 59961 TN BLUE CROSS BLUE SHIELD

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