Black, Matthew David
Black, Matthew David is an sole proprietor health care provider with primary practice located at 3656 Washington Pkwy , Idaho Falls ID 83404-7573. He recently has only one registered license in Speech, Language and Hearing Service Providers / Hearing Instrument Specialist, which is considered as his primary health care specialty. Black, Matthew David can be contacted via phone (208) 529-4969.Contact Information
Primary practice address
3656 Washington Pkwy
Idaho Falls ID 83404-7573
Phone: (208) 529-4969
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Hearing Instrument Specialist | 237700000X | HA3634 | Idaho |
Profile Details
| NPI number | 1639718745 |
|---|---|
| LBN Legal business name | Black, Matthew David |
| Credentials | H.I.S. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 6th, 2020 |
| Last updated | Jan 6th, 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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