Callaway, Matthew Dates
Callaway, Matthew Dates is an individual health care provider with primary practice located at 600 S Timberlane Dr , El Dorado AR 71730-6990. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Callaway, Matthew Dates can be contacted via phone (870) 862-2400.Contact Information
Primary practice address
600 S Timberlane Dr
El Dorado AR 71730-6990
Phone: (870) 862-2400
Fax: (870) 862-1891
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | C7670 | Arkansas |
Profile Details
| NPI number | 1770578718 |
|---|---|
| LBN Legal business name | Callaway, Matthew Dates |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 15th, 2005 |
| Last updated | Feb 10th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770578718 | NPPES |
| Arkansas | MEDICAID | 122881001 |
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