Truesdale, Stephen Gregory

Truesdale, Stephen Gregory is an individual health care provider with primary practice located at 405 W 15Th St 201, Washington NC 27889-3524. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist is his primary health care specialty. Truesdale, Stephen Gregory can be contacted via phone (252) 940-1203.

Contact Information

Primary practice address
405 W 15Th St 201 Washington NC 27889-3524
Phone: (252) 940-1203
Fax: (252) 940-1206
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist 222Z00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist 224P00000X

Profile Details

NPI number 1316098023
LBN Legal business name Truesdale, Stephen Gregory
Credentials CPO
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2007
Last updated Oct 28th, 2014 - about 10 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 1316098023 NPPES
North Carolina MEDICAID 7795069
North Carolina Other 0482P

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