Concannon, Matthew J
Concannon, Matthew J is an sole proprietor health care provider with primary practice located at 3115 Falling Leaf Ct , Columbia MO 65201-3579. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, which is considered as his primary health care specialty. Concannon, Matthew J can be contacted via phone (573) 449-5000.Contact Information
Primary practice address
3115 Falling Leaf Ct
Columbia MO 65201-3579
Phone: (573) 449-5000
Fax: (573) 449-5010
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery | 2086S0122X | MDR7H73 | Missouri |
Profile Details
| NPI number | 1366496515 |
|---|---|
| LBN Legal business name | Concannon, Matthew J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 20th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1366496515 | NPPES |
| Missouri | Other | 289606 | HEALTHLINK |
| Missouri | Other | 1304006 | HEALTHLINK |
| Missouri | Other | 31925 | HEALTHLINK |
| Missouri | Other | 31925 | HEALTHLINK |
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