Mathson, Michael

Mathson, Michael is an individual health care provider with primary practice located at 130 W. Ravine Rd. , Kingsport TN 37660. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Allopathic & Osteopathic Physicians / Emergency Medicine. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Mathson, Michael can be contacted via phone (423) 224-3450.

Contact Information

Primary practice address
130 W. Ravine Rd. Kingsport TN 37660
Phone: (423) 224-3450
Fax: (423) 224-3458
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1537 Tennessee
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 1537 Tennessee

Profile Details

NPI number 1437347606
LBN Legal business name Mathson, Michael
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2007
Last updated Jul 21st, 2011 - about 15 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 1437347606 NPPES
Tennessee MEDICAID 1516958

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