Adams, Mattie Katherine
Adams, Mattie Katherine is an individual health care provider with primary practice located at 1000 Johnstown Rd Ste 102 , Elizabethtown KY 42701-3925. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Adams, Mattie Katherine can be contacted via phone (270) 769-0099.Contact Information
Primary practice address
1000 Johnstown Rd Ste 102
Elizabethtown KY 42701-3925
Phone: (270) 769-0099
Fax: (270) 763-0315
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2231DT | Kentucky |
Profile Details
| NPI number | 1861064958 |
|---|---|
| LBN Legal business name | Adams, Mattie Katherine |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 16th, 2021 |
| Last updated | Jun 22nd, 2022 - about 2 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 | 1861064958 | NPPES |
| Kentucky | MEDICAID | 7100813860 |
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