Stevens, Jeffrey L

Stevens, Jeffrey L is an individual health care provider with primary practice located at 701 Morganton Square Dr , Maryville TN 37801-4796. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Stevens, Jeffrey L can be contacted via phone (865) 982-7101.

Contact Information

Primary practice address
701 Morganton Square Dr Maryville TN 37801-4796
Phone: (865) 982-7101
Fax: (833) 908-2132
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 34136 Tennessee

Profile Details

NPI number 1588600100
LBN Legal business name Stevens, Jeffrey L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2006
Last updated Mar 11th, 2022 - about 4 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 1588600100 NPPES
Tennessee MEDICAID 3854345
Tennessee Other 080171896

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