Burge, Matthew Stephen
Burge, Matthew Stephen is an individual health care provider with primary practice located at 645 Mcqueen Smith Rd N Ste 300 , Prattville AL 36066-7269. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Burge, Matthew Stephen can be contacted via phone (334) 747-2999.Contact Information
Primary practice address
645 Mcqueen Smith Rd N Ste 300
Prattville AL 36066-7269
Phone: (334) 747-2999
Fax: (334) 747-7276
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | MD.36181 | Alabama |
Profile Details
| NPI number | 1902169808 |
|---|---|
| LBN Legal business name | Burge, Matthew Stephen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 17th, 2012 |
| Last updated | Jan 11th, 2023 - 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 | 1902169808 | NPPES |
| Alabama | Other | 102I936812 | MEDICARE |
| Alabama | MEDICAID | 204557 | MEDICARE |
| Alabama | Other | 511-97736 | MEDICARE |
| Alabama | Other | 1902169808 | MEDICARE |
| Alabama | Other | P01919417 | MEDICARE |
| Alabama | Other | 8841312 | MEDICARE |
| Alabama | Other | 511-96290 | MEDICARE |
| Alabama | Other | Z39181 | MEDICARE |
| Alabama | MEDICAID | 204555 | MEDICARE |
| Alabama | Other | Z39181 | MEDICARE |
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