Stewart, Michael T.

Stewart, Michael T. is an individual health care provider with primary practice located at 1514 Sparta St , Mc Minnville TN 37110-1317. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Stewart, Michael T. can be contacted via phone (931) 473-8400.

Contact Information

Primary practice address
1514 Sparta St Mc Minnville TN 37110-1317
Fax: (931) 473-0620
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD0000030420 Tennessee

Profile Details

NPI number 1184611493
LBN Legal business name Stewart, Michael T.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2005
Last updated Nov 10th, 2020 - 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 1184611493 NPPES
Tennessee Other 3157601 BLUE CROSS
Tennessee MEDICAID 3832446 BLUE CROSS
Tennessee Other 0101189 BLUE CROSS
Tennessee Other 080182482 BLUE CROSS

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