Reese, Matthew Bradley
Reese, Matthew Bradley is an individual health care provider with primary practice located at 1596 Highway 33 S , New Tazewell TN 37825-7104. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Reese, Matthew Bradley can be contacted via phone (423) 626-2965.Contact Information
Primary practice address
1596 Highway 33 S
New Tazewell TN 37825-7104
Phone: (423) 626-2965
Fax: (423) 626-2968
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LSW923 | Tennessee |
Profile Details
NPI number | 1790783918 |
---|---|
LBN Legal business name | Reese, Matthew Bradley |
Credentials | Licensed Clinical Social Worker (LCSW) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 12th, 2005 |
Last updated | Nov 30th, 2017 - about 8 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 | 1790783918 | NPPES |
Tennessee | MEDICAID | 3924910 |
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