Provider Demographics
NPI:1992551444
Name:PARTIN, STEVEN W (TCM)
Entity type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:W
Last Name:PARTIN
Suffix:
Gender:M
Credentials:TCM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2010 CUMBERLAND AVE
Mailing Address - Street 2:
Mailing Address - City:MIDDLESBORO
Mailing Address - State:KY
Mailing Address - Zip Code:40965-2829
Mailing Address - Country:US
Mailing Address - Phone:606-302-4410
Mailing Address - Fax:
Practice Address - Street 1:2010 CUMBERLAND AVE
Practice Address - Street 2:
Practice Address - City:MIDDLESBORO
Practice Address - State:KY
Practice Address - Zip Code:40965-2829
Practice Address - Country:US
Practice Address - Phone:606-302-4410
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-25
Last Update Date:2024-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator