Fearrington, Matthew Edward
Fearrington, Matthew Edward is an individual health care provider with primary practice located at 501 Adesa Blvd, Suite A-150 , Lenoir City TN 37771. He recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as his primary health care specialty. Fearrington, Matthew Edward can be contacted via phone (865) 986-8082.Contact Information
Primary practice address
501 Adesa Blvd, Suite A-150
Lenoir City TN 37771
Phone: (865) 986-8082
Fax: (865) 986-5890
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counseling | 103TC1900X | 2641 | Tennessee |
Profile Details
| NPI number | 1285632489 |
|---|---|
| LBN Legal business name | Fearrington, Matthew Edward |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 12th, 2005 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1285632489 | NPPES |
| Tennessee | MEDICAID | 3983311 |
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