Blair, Matthew S
Blair, Matthew S is an individual health care provider with primary practice located at 5900 Byron Center Ave Sw , Wyoming MI 49519-9606. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Blair, Matthew S can be contacted via phone (616) 252-6199.Contact Information
Primary practice address
5900 Byron Center Ave Sw
Wyoming MI 49519-9606
Phone: (616) 252-6199
Fax: (616) 252-6269
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MB013442 | Michigan |
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 5101013442 | Michigan |
Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 5101013442 | Michigan |
Profile Details
NPI number | 1548225634 |
---|---|
LBN Legal business name | Blair, Matthew S |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 20th, 2006 |
Last updated | Mar 22nd, 2018 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1548225634 | NPPES |
Michigan | MEDICAID | 4236370 |
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