D'Amico, Stephen J

D'Amico, Stephen J is an sole proprietor health care provider with primary practice located at 4200 Murfreesboro Pike , Antioch TN 37013-2789. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as his primary health care specialty. D'Amico, Stephen J can be contacted via phone (615) 771-9958.

Contact Information

Primary practice address
4200 Murfreesboro Pike Antioch TN 37013-2789
Fax: (855) 229-1374
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X MD018500 Tennessee

Profile Details

NPI number 1134162134
LBN Legal business name D'Amico, Stephen J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 14th, 2006
Last updated Feb 8th, 2016 - 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 1134162134 NPPES
Tennessee MEDICAID 3704341

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