Cross, Stephen Daniel

Cross, Stephen Daniel is an individual health care provider with primary practice located at 20029 Alberta St. , Oneida TN 37841. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Cross, Stephen Daniel can be contacted via phone (423) 569-8652.

Contact Information

Primary practice address
20029 Alberta St. Oneida TN 37841
Phone: (423) 569-8652
Fax: (423) 569-4080
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 000000469 Tennessee

Profile Details

NPI number 1700142619
LBN Legal business name Cross, Stephen Daniel
Credentials Doctor of Public Health (DPH)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 4th, 2012
Last updated Apr 4th, 2012 - about 13 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 1700142619 NPPES
Tennessee MEDICAID 1452816

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