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
Phone: (606) 780-5500
Fax: (606) 783-7281
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1699778613 | NPPES |
Kentucky | MEDICAID | 7100658660 | |
Kentucky | Other | 53502 |
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