Anderson, Matthew Dean

Anderson, Matthew Dean is an individual health care provider with primary practice located at 313 Main St Ste A , Greenwood SC 29646-2757. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Anderson, Matthew Dean can be contacted via phone (864) 229-4446.

Contact Information

Primary practice address
313 Main St Ste A Greenwood SC 29646-2757
Phone: (864) 229-4446
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA3606 South Carolina

Profile Details

NPI number 1154933810
LBN Legal business name Anderson, Matthew Dean
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2020
Last updated Aug 23rd, 2020 - 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 1154933810 NPPES
South Carolina Other 102029439 DRIVERS LICENSE

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