Dodds, Matthew Taylor
Dodds, Matthew Taylor is an sole proprietor health care provider with primary practice located at 1421 Wilkins Cir , Casper WY 82601-1337. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Dodds, Matthew Taylor can be contacted via phone (307) 237-2511.Contact Information
Primary practice address
1421 Wilkins Cir
Casper WY 82601-1337
Phone: (307) 237-2511
Fax: (307) 237-7351
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 4462A | Wyoming |
Profile Details
| NPI number | 1225092562 |
|---|---|
| LBN Legal business name | Dodds, Matthew Taylor |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 13th, 2006 |
| Last updated | Jun 29th, 2011 - about 14 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 | 1225092562 | NPPES |
| Wyoming | MEDICAID | 104679900 | |
| Wyoming | Other | 310643 |
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