Tanner, Stephanie Crabtree

Tanner, Stephanie Crabtree is an individual health care provider with primary practice located at 2500 N State St Department Of Pathology, Jackson MS 39216-4500. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as her primary health care specialty. Tanner, Stephanie Crabtree can be contacted via phone (601) 984-1530.

Contact Information

Primary practice address
2500 N State St Department Of Pathology Jackson MS 39216-4500
Fax: (601) 984-1531
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 22388 Mississippi

Profile Details

NPI number 1811335474
LBN Legal business name Tanner, Stephanie Crabtree
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2013
Last updated Mar 21st, 2014 - about 12 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 1811335474 NPPES
Mississippi MEDICAID 08639544
Mississippi Other P01271437

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