Prater, Matthew Ryan

Prater, Matthew Ryan is an sole proprietor health care provider with primary practice located at 1224 Trotwood Ave , Columbia TN 38401-4802. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Prater, Matthew Ryan can be contacted via phone (931) 381-1111.

Contact Information

Primary practice address
1224 Trotwood Ave Columbia TN 38401-4802
Phone: (931) 381-1111
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD0000054482 Tennessee

Profile Details

NPI number 1972867398
LBN Legal business name Prater, Matthew Ryan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 29th, 2012
Last updated Aug 4th, 2021 - about 5 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 1972867398 NPPES
Mississippi Other T-2594 TEMPORARY STATE MEDICAL LICENSE

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