Organization
STEVIE TROSPER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVE TROSPER (OWNER)
(606) 248-9020
Entity
Organization
Contact information
Practice address
1930 CUMBERLAND AVE, MIDDLESBORO, KY 40965-1231
(606) 248-9020
(606) 248-9015
Mailing address
1930 CUMBERLAND AVE, MIDDLESBORO, KY 40965-1231
(606) 248-9020
(606) 248-9015
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
258490
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
90007089
—
KY
Enumeration date
07/11/2005
Last updated
08/04/2008
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