Matthews, Ina J

Matthews, Ina J is an individual health care provider with primary practice located at 641 Middle Creek Rd , Sevierville TN 37862-5014. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Matthews, Ina J can be contacted via phone (865) 428-0583.

Contact Information

Primary practice address
641 Middle Creek Rd Sevierville TN 37862-5014
Phone: (865) 428-0583
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0430 Tennessee

Profile Details

NPI number 1083782833
LBN Legal business name Matthews, Ina J
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2006
Last updated May 8th, 2008 - about 18 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 1083782833 NPPES
Tennessee Other 3706637 MEDICARE LEGACY GROUP

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