Hanserd, Matthew D
Hanserd, Matthew D is an individual health care provider with primary practice located at 700 W Market St , Athens AL 35611-2457. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Hanserd, Matthew D can be contacted via phone (256) 262-6738.Contact Information
Primary practice address
700 W Market St
Athens AL 35611-2457
Phone: (256) 262-6738
Fax: (256) 262-6731
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 49759 | Tennessee |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 33722 | Alabama |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 49759 | Tennessee |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 33722 | Alabama |
Profile Details
| NPI number | 1942524434 |
|---|---|
| LBN Legal business name | Hanserd, Matthew D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 26th, 2010 |
| Last updated | Mar 17th, 2018 - about 6 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 | 1942524434 | NPPES |
| Tennessee | MEDICAID | 1531854 | |
| Tennessee | Other | 6011134 | |
| Tennessee | MEDICAID | 7100242280 |
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