Allen, Matthew Weslee

Allen, Matthew Weslee is an sole proprietor health care provider with primary practice located at 900 Sunset Dr , La Grande OR 97850-1362. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Allen, Matthew Weslee can be contacted via phone (541) 963-8421.

Contact Information

Primary practice address
900 Sunset Dr La Grande OR 97850-1362
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD24467 Oregon

Profile Details

NPI number 1558445239
LBN Legal business name Allen, Matthew Weslee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 25th, 2006
Last updated Feb 27th, 2017 - about 7 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 1558445239 NPPES
Oregon MEDICAID 022766

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