Stephens, Gary Wayne
Stephens, Gary Wayne is an individual health care provider with primary practice located at 501 19Th St. Suite 401, Knoxville TN 37916-1839. He recently has only one registered license in Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine, which is considered as his primary health care specialty. Stephens, Gary Wayne can be contacted via phone (865) 331-2020.Contact Information
Primary practice address
501 19Th St. Suite 401
Knoxville TN 37916-1839
Phone: (865) 331-2020
Fax: (865) 331-2019
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine | 207VM0101X | DO1116 | Tennessee |
Profile Details
NPI number | 1295730570 |
---|---|
LBN Legal business name | Stephens, Gary Wayne |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 14th, 2005 |
Last updated | Apr 26th, 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 | 1295730570 | NPPES |
Tennessee | Other | 4061066 | BCBS |
Tennessee | MEDICAID | 3304402 | BCBS |
Tennessee | MEDICAID | Q004362 | BCBS |
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