Brown, Matthew S
Brown, Matthew S is an individual health care provider with primary practice located at 315 E Elm St Ste 100 , Caldwell ID 83605-4858. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Brown, Matthew S can be contacted via phone (208) 302-7100.Contact Information
Primary practice address
315 E Elm St Ste 100
Caldwell ID 83605-4858
Phone: (208) 302-7100
Fax: (208) 302-7189
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | M7233 | Idaho |
Profile Details
| NPI number | 1508809914 |
|---|---|
| LBN Legal business name | Brown, Matthew S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 14th, 2006 |
| Last updated | Oct 30th, 2020 - about 4 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 | 1508809914 | NPPES |
| Idaho | MEDICAID | 804218100 |
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