Allen, Matthew Gene

Allen, Matthew Gene is an individual health care provider with primary practice located at 4002 Vista Way , Oceanside CA 92056-4506. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Allen, Matthew Gene can be contacted via phone (760) 724-8411.

Contact Information

Primary practice address
4002 Vista Way Oceanside CA 92056-4506
Phone: (760) 724-8411
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 52549 California

Profile Details

NPI number 1770963589
LBN Legal business name Allen, Matthew Gene
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2015
Last updated Jun 5th, 2015 - about 9 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 1770963589 NPPES
California Other 52549 CALIFORNIA STATE PHYSICIAN ASSISTANT LICENSE

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