Declerck, Matthieu Philippe

Declerck, Matthieu Philippe is an individual health care provider with primary practice located at 300 Pasteur Dr Alway Building, Room 121, Stanford CA 94305-2200. He recently has 2 registered licenses in different health care specialties including Emergency Medical Service Providers / Personal Emergency Response Attendant, Allopathic & Osteopathic Physicians / Emergency Medicine. Emergency Medical Service Providers / Personal Emergency Response Attendant is his primary health care specialty. Declerck, Matthieu Philippe can be contacted via phone (650) 725-9445.

Contact Information

Primary practice address
300 Pasteur Dr Alway Building, Room 121 Stanford CA 94305-2200
Phone: (650) 725-9445
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Emergency Medical Service Providers / Personal Emergency Response Attendant 146D00000X A101627 California
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 48842 Colorado

Profile Details

NPI number 1891975538
LBN Legal business name Declerck, Matthieu Philippe
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2007
Last updated Sep 3rd, 2013 - 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 1891975538 NPPES
Colorado MEDICAID 68132735
Colorado Other 021043

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