Pesson, Charles Matthew

Pesson, Charles Matthew is an individual health care provider with primary practice located at 245 Flemingsburg Rd , Morehead KY 40351-1015. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Pesson, Charles Matthew can be contacted via phone (606) 780-5500.

Contact Information

Primary practice address
245 Flemingsburg Rd Morehead KY 40351-1015
Fax: (606) 783-7281
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 53502 Kentucky
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 53502 Kentucky

Profile Details

NPI number 1699778613
LBN Legal business name Pesson, Charles Matthew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2005
Last updated Apr 21st, 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 1699778613 NPPES
Kentucky MEDICAID 7100658660
Kentucky Other 53502

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