Yallourakis, Stephen
Yallourakis, Stephen is an individual health care provider with primary practice located at 105 W Stone Dr Ste 1A, Kingsport TN 37660-3256. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery, Dental Providers / Oral and Maxillofacial Surgery. Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery is his primary health care specialty. Yallourakis, Stephen can be contacted via phone (423) 246-8211.Contact Information
Primary practice address
105 W Stone Dr Ste 1A
Kingsport TN 37660-3256
Phone: (423) 246-8211
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery | 204E00000X | MD24477 | Tennessee |
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | DS7016 | Tennessee |
Profile Details
| NPI number | 1760486682 |
|---|---|
| LBN Legal business name | Yallourakis, Stephen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 9th, 2005 |
| Last updated | Sep 24th, 2009 - about 17 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 | 1760486682 | NPPES |
| Tennessee | MEDICAID | 3075591 | |
| Tennessee | MEDICAID | 7322721 |
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