Conner, Matthew Shane

Conner, Matthew Shane is an individual health care provider with primary practice located at 720 W 34Th St , Austin TX 78705-1205. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Emergency Medical Services. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Conner, Matthew Shane can be contacted via phone (512) 452-8533.

Contact Information

Primary practice address
720 W 34Th St Austin TX 78705-1205
Phone: (512) 452-8533
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X M7917 Texas
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X M7917 Texas

Profile Details

NPI number 1225284037
LBN Legal business name Conner, Matthew Shane
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2008
Last updated Feb 25th, 2009 - about 15 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 1225284037 NPPES
Texas Other M7917 LICENSE

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