Mathien, Gregory Mark

Mathien, Gregory Mark is an individual health care provider with primary practice located at 1422 Old Weisgarber Rd , Knoxville TN 37909-2674. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Mathien, Gregory Mark can be contacted via phone (865) 558-4400.

Contact Information

Primary practice address
1422 Old Weisgarber Rd Knoxville TN 37909-2674
Phone: (865) 558-4400
Fax: (865) 558-4471
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X MD21414 Tennessee
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 21414 Tennessee

Profile Details

NPI number 1730156076
LBN Legal business name Mathien, Gregory Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2006
Last updated Jun 22nd, 2017 - about 8 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 1730156076 NPPES
Tennessee Other 100010064 TENNCARE
Tennessee Other 200030088 TENNCARE
Tennessee Other TN0152 TENNCARE
Tennessee Other 098041241 TENNCARE
Tennessee Other 1196196 TENNCARE
Tennessee MEDICAID 3059706 TENNCARE
Tennessee Other 4397728 TENNCARE
Tennessee Other 3071385 TENNCARE
Tennessee Other P00910368 TENNCARE
Tennessee Other TN0120 TENNCARE

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