Stephens, Michael Allen

Stephens, Michael Allen is an individual health care provider with primary practice located at 424 N Broad St , New Tazewell TN 37825-6606. 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. Stephens, Michael Allen can be contacted via phone (423) 259-5700.

Contact Information

Primary practice address
424 N Broad St New Tazewell TN 37825-6606
Phone: (423) 259-5700
Fax: (865) 374-2200
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2853 Tennessee

Profile Details

NPI number 1881063857
LBN Legal business name Stephens, Michael Allen
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2015
Last updated Nov 18th, 2021 - about 5 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 1881063857 NPPES
Tennessee MEDICAID Q026491

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