Tackett, Matthew Brian
Tackett, Matthew Brian is an sole proprietor health care provider with primary practice located at 6800 Us Highway 23 S Suite 3, Pikeville KY 41501-3701. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Tackett, Matthew Brian can be contacted via phone (606) 639-0722.Contact Information
Primary practice address
6800 Us Highway 23 S Suite 3
Pikeville KY 41501-3701
Phone: (606) 639-0722
Fax: (606) 639-0723
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 4673 | Kentucky |
Profile Details
| NPI number | 1588721757 |
|---|---|
| LBN Legal business name | Tackett, Matthew Brian |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 3rd, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1588721757 | NPPES |
| Kentucky | MEDICAID | 85003655 |
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