King, Matthew J

King, Matthew J is an sole proprietor health care provider with primary practice located at 3300 Williams Enterprise Dr Ste 1 , Cookeville TN 38506-4224. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. King, Matthew J can be contacted via phone (931) 528-9222.

Contact Information

Primary practice address
3300 Williams Enterprise Dr Ste 1 Cookeville TN 38506-4224
Phone: (931) 528-9222
Fax: (931) 854-0907
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 35889 Kentucky
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 35889 Kentucky
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 39208 Tennessee
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 39208 Tennessee

Profile Details

NPI number 1932101284
LBN Legal business name King, Matthew J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 1st, 2005
Last updated Feb 22nd, 2024 - about 10 months 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 1932101284 NPPES
Tennessee Other 4096784 BLUE CROSS BLUE SHIELD
Tennessee MEDICAID 3326198 BLUE CROSS BLUE SHIELD

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