Desalvo, Matthew J
Desalvo, Matthew J is an individual health care provider with primary practice located at 809 82Nd Pkwy , Myrtle Beach SC 29572-4607. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Desalvo, Matthew J can be contacted via phone (843) 497-5929.Contact Information
Primary practice address
809 82Nd Pkwy
Myrtle Beach SC 29572-4607
Phone: (843) 497-5929
Fax: (843) 497-9940
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 27524 | South Carolina |
Profile Details
| NPI number | 1942206826 |
|---|---|
| LBN Legal business name | Desalvo, Matthew J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 24th, 2005 |
| Last updated | Nov 19th, 2013 - about 11 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 | 1942206826 | NPPES |
| South Carolina | MEDICAID | 275240 |
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