Agnew, Matthew Jay

Agnew, Matthew Jay is an sole proprietor health care provider with primary practice located at 2900 Collins Rd , Lansing MI 48910-8394. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Agnew, Matthew Jay can be contacted via phone (517) 377-8225.

Contact Information

Primary practice address
2900 Collins Rd Lansing MI 48910-8394
Phone: (517) 377-8225
Fax: (517) 372-5006
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 4704212178 Michigan

Profile Details

NPI number 1558407023
LBN Legal business name Agnew, Matthew Jay
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 30th, 2007
Last updated Jan 31st, 2024 - about 8 months 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 1558407023 NPPES
Michigan Other 4704212178 STATE LICENSE NUMBER

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