Bureau, Matthew P

Bureau, Matthew P is an individual health care provider with primary practice located at 70 Lincoln Street, Mill 6 Bates Mill Dermatology, Pllc, Lewiston ME 04240. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Bureau, Matthew P can be contacted via phone (207) 795-7540.

Contact Information

Primary practice address
70 Lincoln Street, Mill 6 Bates Mill Dermatology, Pllc Lewiston ME 04240
Phone: (207) 795-7540
Fax: (207) 795-7528
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 103496 North Carolina

Profile Details

NPI number 1225037211
LBN Legal business name Bureau, Matthew P
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2005
Last updated Feb 4th, 2014 - about 11 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 1225037211 NPPES
South Carolina MEDICAID 0219PA
South Carolina Other 970030187

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