Defries, Matthew
Defries, Matthew is an individual health care provider with primary practice located at 472 Polaris St Bldg 586 , Virginia Beach VA 23461-1935. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Defries, Matthew can be contacted via phone (219) 869-1039.Contact Information
Primary practice address
472 Polaris St Bldg 586
Virginia Beach VA 23461-1935
Phone: (219) 869-1039
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Independent Duty Corpsman | 1710I1002X | 5060000751 | Indiana |
Profile Details
| NPI number | 1710512009 |
|---|---|
| LBN Legal business name | Defries, Matthew |
| Credentials | L02A |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 6th, 2020 |
| Last updated | Jun 22nd, 2023 - about last year |
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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