Brock, Matthew Ryan

Brock, Matthew Ryan is an individual health care provider with primary practice located at 116 Frank Martin Rd , Shelbyville TN 37160-7192. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Brock, Matthew Ryan can be contacted via phone (931) 684-5554.

Contact Information

Primary practice address
116 Frank Martin Rd Shelbyville TN 37160-7192
Phone: (931) 684-5554
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 3790 Tennessee

Profile Details

NPI number 1275811077
LBN Legal business name Brock, Matthew Ryan
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2011
Last updated Mar 21st, 2022 - about 3 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 1275811077 NPPES
Florida Other 390200000X STUDENT IN AN ORGANIZED HEALTH CARE EDUCATION/TRAINING PROGRAM

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