Gestaut, Matthew Maxwell

Gestaut, Matthew Maxwell is an individual health care provider with primary practice located at 1 Medical Park Blvd , Bristol TN 37620. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Radiation Oncology. Allopathic & Osteopathic Physicians / Radiation Oncology is his primary health care specialty. Gestaut, Matthew Maxwell can be contacted via phone (423) 968-1144.

Contact Information

Primary practice address
1 Medical Park Blvd Bristol TN 37620
Phone: (423) 968-1144
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 56841 Tennessee

Profile Details

NPI number 1437492816
LBN Legal business name Gestaut, Matthew Maxwell
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2013
Last updated Nov 14th, 2018 - about 7 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 1437492816 NPPES
Tennessee MEDICAID Q044082

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