Individual
STEPHEN BEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
1422 OLD WEISGARBER RD, KNOXVILLE, TN 37909-2674
(865) 558-4400
(865) 558-4471
Mailing address
1422 OLD WEISGARBER RD, KNOXVILLE, TN 37909-1293
(865) 558-4400
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
146
TN
363AM0700X
Medical Physician Assistant
146
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3094425
BLUE CROSS BLUE SHIELD
TN
01
—
970015511
RAILROAD MEDICARE
TN
01
—
TN0106
JOHN DEERE HEALTHCARE
TN
01
—
TN0114
JOHN DEERE HEALTHCARE
TN
01
—
TN0144
JOHN DEERE HEALTHCARE
TN
Enumeration date
05/16/2006
Last updated
10/29/2018
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