Pack, Steven Henry

Pack, Steven Henry is an individual health care provider with primary practice located at 706 Cadet Ct , Lebanon TN 37087-2649. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Pack, Steven Henry can be contacted via phone (615) 449-2472.

Contact Information

Primary practice address
706 Cadet Ct Lebanon TN 37087-2649
Fax: (615) 449-4709
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA626 Tennessee

Profile Details

NPI number 1346351194
LBN Legal business name Pack, Steven Henry
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Jan 22nd, 2021 - 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 1346351194 NPPES
Tennessee MEDICAID 3662285

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