Mosteller, Matthew Kurt

Mosteller, Matthew Kurt is an sole proprietor health care provider with primary practice located at 768 S Jefferson Ave , Cookeville TN 38501-4070. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Mosteller, Matthew Kurt can be contacted via phone (931) 646-5900.

Contact Information

Primary practice address
768 S Jefferson Ave Cookeville TN 38501-4070
Phone: (931) 646-5900
Fax: (931) 646-5901
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2556 Tennessee

Profile Details

NPI number 1255320859
LBN Legal business name Mosteller, Matthew Kurt
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 17th, 2005
Last updated Mar 31st, 2020 - about 4 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 1255320859 NPPES
Georgia MEDICAID 140852100A

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