Burton, Matthew Ryan

Burton, Matthew Ryan is an individual health care provider with primary practice located at 4150 Nelson Rd Ste C10 , Lake Charles LA 70605-4169. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty.

Contact Information

Primary practice address
4150 Nelson Rd Ste C10 Lake Charles LA 70605-4169
Phone:
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 311945 Louisiana

Profile Details

NPI number 1669730313
LBN Legal business name Burton, Matthew Ryan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2012
Last updated Aug 24th, 2022 - about 3 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 1669730313 NPPES
Louisiana MEDICAID 2510363

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