Vance, Matthew B

Vance, Matthew B is an individual health care provider with primary practice located at 1924 Alcoa Hwy Box U109, Knoxville TN 37920-1511. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Vance, Matthew B can be contacted via phone (865) 544-9220.

Contact Information

Primary practice address
1924 Alcoa Hwy Box U109 Knoxville TN 37920-1511
Phone: (865) 544-9220
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 36671 Tennessee
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 36671 Tennessee

Profile Details

NPI number 1972504249
LBN Legal business name Vance, Matthew B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2005
Last updated Jul 8th, 2007 - about 17 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 1972504249 NPPES
Tennessee MEDICAID 3894459
Tennessee Other 4088715
Tennessee MEDICAID 64084163

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