David, Matthew Thomas

David, Matthew Thomas is an individual health care provider with primary practice located at 2893 Sturgis Rd , Rock Hill SC 29730-6607. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. David, Matthew Thomas can be contacted via phone (803) 366-9090.

Contact Information

Primary practice address
2893 Sturgis Rd Rock Hill SC 29730-6607
Phone: (803) 366-9090
Fax: (803) 366-9141
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 3345 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0010-03548 North Carolina

Profile Details

NPI number 1578547949
LBN Legal business name David, Matthew Thomas
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2005
Last updated Jul 31st, 2012 - about 12 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 1578547949 NPPES
Arizona MEDICAID 1780614008
Arizona MEDICAID 1295993376
Arizona MEDICAID 1629236716
Arizona MEDICAID 1871523191

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