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
Phone: (615) 449-2472
Fax: (615) 449-4709
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346351194 | NPPES |
| Tennessee | MEDICAID | 3662285 |
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