Wayne, Stephen Leon

Wayne, Stephen Leon is an individual health care provider with primary practice located at 3183 W State St Suite 1201, Bristol TN 37620-1712. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Wayne, Stephen Leon can be contacted via phone (423) 764-0987.

Contact Information

Primary practice address
3183 W State St Suite 1201 Bristol TN 37620-1712
Phone: (423) 764-0987
Fax: (423) 652-2512
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 30368 Tennessee

Profile Details

NPI number 1881687556
LBN Legal business name Wayne, Stephen Leon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 26th, 2005
Last updated Aug 24th, 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 1881687556 NPPES
Tennessee MEDICAID 3823601
Tennessee MEDICAID 3094544
Tennessee MEDICAID 010363136
Tennessee MEDICAID 007109881

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