Douglas, Matt

Douglas, Matt is an individual health care provider with primary practice located at 2101 N Waldron St , Hutchinson KS 67502-1131. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Douglas, Matt can be contacted via phone (620) 669-2500.

Contact Information

Primary practice address
2101 N Waldron St Hutchinson KS 67502-1131
Phone: (620) 669-2500
Fax: (620) 694-4225
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 15-00848 Kansas

Profile Details

NPI number 1750354643
LBN Legal business name Douglas, Matt
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 10th, 2006
Last updated Sep 18th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1750354643 NPPES
Kansas MEDICAID 100425400A

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