Provider Demographics
NPI:1144323791
Name:EMBREE, STEVEN (DPM)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:
Last Name:EMBREE
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:515 HIGHLAND TERRACE
Mailing Address - Street 2:B
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37130
Mailing Address - Country:US
Mailing Address - Phone:615-890-6624
Mailing Address - Fax:615-849-9746
Practice Address - Street 1:515 HIGHLAND TERRACE
Practice Address - Street 2:B
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37130
Practice Address - Country:US
Practice Address - Phone:615-890-6624
Practice Address - Fax:615-849-9746
Is Sole Proprietor?:No
Enumeration Date:2006-09-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDPM175213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
U32598Medicare UPIN
3350638Medicare ID - Type Unspecified