Doerr, Matthew Dale
Doerr, Matthew Dale is an individual health care provider with primary practice located at 8720 Stony Point Pkwy Suite 135, Richmond VA 23235-1988. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Other Service Providers / Specialist. Other Service Providers / Specialist is his primary health care specialty. Doerr, Matthew Dale can be contacted via phone (804) 272-8040.Contact Information
Primary practice address
8720 Stony Point Pkwy Suite 135
Richmond VA 23235-1988
Phone: (804) 272-8040
Fax: (804) 272-7344
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 0101252608 | Virginia |
| Other Service Providers / Specialist | 174400000X | 0101252608 | Virginia |
Profile Details
| NPI number | 1962792630 |
|---|---|
| LBN Legal business name | Doerr, Matthew Dale |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 14th, 2011 |
| Last updated | Jul 10th, 2019 - about 6 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 | 1962792630 | NPPES |
| Virginia | MEDICAID | 1962792630 |
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