Huddleston, Stephen Michael

Huddleston, Stephen Michael is an individual health care provider with primary practice located at 1432 Kimbrough Rd , Germantown TN 38138-2405. He recently has only one registered license in Allopathic & Osteopathic Physicians / Retina Specialist, which is considered as his primary health care specialty. Huddleston, Stephen Michael can be contacted via phone (901) 767-4499.

Contact Information

Primary practice address
1432 Kimbrough Rd Germantown TN 38138-2405
Phone: (901) 767-4499
Fax: (901) 761-0727
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Retina Specialist 207WX0107X 51045 Tennessee

Profile Details

NPI number 1992022800
LBN Legal business name Huddleston, Stephen Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2010
Last updated Feb 15th, 2019 - about 6 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 1992022800 NPPES
Arkansas MEDICAID 206796001
Arkansas MEDICAID Q009896
Arkansas MEDICAID 1992022800
Arkansas MEDICAID 1992022800
Arkansas MEDICAID 00284540
Arkansas MEDICAID 003181608A

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