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
Fax: (601) 696-4611
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427269331 NPPES
Mississippi MEDICAID 09300810

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