Brady, Matthew R
Brady, Matthew R is an individual health care provider with primary practice located at 301 Louis St Suite 101, Kingsport TN 37660-5181. He recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as his primary health care specialty. Brady, Matthew R can be contacted via phone (423) 246-4600.Contact Information
Primary practice address
301 Louis St Suite 101
Kingsport TN 37660-5181
Phone: (423) 246-4600
Fax: (423) 246-3311
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Audiologist | 231H00000X | 1774 | Tennessee |
Profile Details
| NPI number | 1386190585 |
|---|---|
| LBN Legal business name | Brady, Matthew R |
| Credentials | AUD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 28th, 2016 |
| Last updated | Sep 12th, 2016 - about 10 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 | 1386190585 | NPPES |
| Tennessee | MEDICAID | Q023491 |
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