Street, Charles Matthew
Street, Charles Matthew is an sole proprietor health care provider with primary practice located at 170 W Tennessee Ave , Oak Ridge TN 37830-6509. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Street, Charles Matthew can be contacted via phone (865) 482-1788.Contact Information
Primary practice address
170 W Tennessee Ave
Oak Ridge TN 37830-6509
Phone: (865) 482-1788
Fax: (865) 482-1789
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X |
Profile Details
| NPI number | 1255981940 |
|---|---|
| LBN Legal business name | Street, Charles Matthew |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 16th, 2019 |
| Last updated | Sep 16th, 2019 - about 5 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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