Brady, Matthew R

Brady, Matthew R is an individual health care provider with primary practice located at 301 Louis St Suite 101, Kingsport TN 37660-5181. He recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as his primary health care specialty. Brady, Matthew R can be contacted via phone (423) 246-4600.

Contact Information

Primary practice address
301 Louis St Suite 101 Kingsport TN 37660-5181
Fax: (423) 246-3311
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 1774 Tennessee

Profile Details

NPI number 1386190585
LBN Legal business name Brady, Matthew R
Credentials AUD
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 28th, 2016
Last updated Sep 12th, 2016 - about 9 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386190585 NPPES
Tennessee MEDICAID Q023491

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