Mccallister, Matthew C
Mccallister, Matthew C is an individual health care provider with primary practice located at 145 E Vance Rd , Oak Ridge TN 37830-6528. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Mccallister, Matthew C can be contacted via phone (865) 482-4088.Contact Information
Primary practice address
145 E Vance Rd
Oak Ridge TN 37830-6528
Phone: (865) 482-4088
Fax: (866) 674-2033
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 51426 | Tennessee |
Profile Details
| NPI number | 1588826051 |
|---|---|
| LBN Legal business name | Mccallister, Matthew C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 26th, 2008 |
| Last updated | Oct 3rd, 2022 - about 4 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 | 1588826051 | NPPES |
| Tennessee | MEDICAID | Q007653 |
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