Cassell, Matthew Wade
Cassell, Matthew Wade is an individual health care provider with primary practice located at 1704 23Rd Ave Second Floor, Meridian MS 39301-3103. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is his primary health care specialty. Cassell, Matthew Wade can be contacted via phone (601) 482-1555.Contact Information
Primary practice address
1704 23Rd Ave Second Floor
Meridian MS 39301-3103
Phone: (601) 482-1555
Fax: (601) 696-4611
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Specialist | 174400000X | 20329 | Mississippi |
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | T-1923 | Mississippi |
Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 305867 | Mississippi |
Profile Details
NPI number | 1427269331 |
---|---|
LBN Legal business name | Cassell, Matthew Wade |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 24th, 2007 |
Last updated | Oct 22nd, 2020 - about 5 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 | 1427269331 | NPPES |
Mississippi | MEDICAID | 09300810 |
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