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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255320859 | NPPES |
| Georgia | MEDICAID | 140852100A |
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