Dorsey, Matthew Grant

Dorsey, Matthew Grant is an individual health care provider with primary practice located at 1001 Potrero Avenue Bldg 30 4Th Floor, San Francisco CA 94110-3518. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Infectious Disease. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Dorsey, Matthew Grant can be contacted via phone (415) 206-5438.

Contact Information

Primary practice address
1001 Potrero Avenue Bldg 30 4Th Floor San Francisco CA 94110-3518
Fax: (415) 648-8425
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A54035 California
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X A54035 California

Profile Details

NPI number 1134341118
LBN Legal business name Dorsey, Matthew Grant
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2007
Last updated Jul 8th, 2007 - about 18 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 1134341118 NPPES
California MEDICAID 00A540350

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