Beale, Matthew Thomas
Beale, Matthew Thomas is an sole proprietor health care provider with primary practice located at 137 Portland St 4Th Floor, Boston MA 02114. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist is his primary health care specialty. Beale, Matthew Thomas can be contacted via phone (617) 996-9058.Contact Information
Primary practice address
137 Portland St 4Th Floor
Boston MA 02114
Phone: (617) 996-9058
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist | 222Z00000X | ||
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist | 224P00000X |
Profile Details
NPI number | 1730679234 |
---|---|
LBN Legal business name | Beale, Matthew Thomas |
Credentials | CPO |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | May 10th, 2018 |
Last updated | Aug 30th, 2022 - about 2 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1730679234 | NPPES |
Washington | Other | PS61292556 | WASHINGTON STATE DEPARTMENT OF HEALTH PROSTHETIST LICENSE |
Washington | Other | CPO03996 | WASHINGTON STATE DEPARTMENT OF HEALTH PROSTHETIST LICENSE |
Washington | Other | OI61292553 | WASHINGTON STATE DEPARTMENT OF HEALTH PROSTHETIST LICENSE |
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