Stewart, John A

Stewart, John A is an sole proprietor health care provider with primary practice located at 353 New Shackle Island Rd Ste 107A, Hendersonville TN 37075-2379. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Stewart, John A can be contacted via phone (615) 264-6116.

Contact Information

Primary practice address
353 New Shackle Island Rd Ste 107A Hendersonville TN 37075-2379
Phone: (615) 264-6116
Fax: (615) 264-4741
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD0000027879 Tennessee
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X MD0000027879 Tennessee

Profile Details

NPI number 1710973342
LBN Legal business name Stewart, John A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 20th, 2005
Last updated Jan 17th, 2012 - about 13 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 1710973342 NPPES
Tennessee MEDICAID 3866840
Tennessee Other 7017145
Tennessee Other 4053371

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