Driver, Matthew S.
Driver, Matthew S. is an individual health care provider with primary practice located at 1740 Nw Goetz St , Roseburg OR 97471-1613. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Driver, Matthew S. can be contacted via phone (541) 640-7625.Contact Information
Primary practice address
1740 Nw Goetz St
Roseburg OR 97471-1613
Phone: (541) 640-7625
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | MD13351 | Oregon |
Profile Details
| NPI number | 1689647927 |
|---|---|
| LBN Legal business name | Driver, Matthew S. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 8th, 2006 |
| Last updated | Jan 24th, 2020 - about 5 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 | 1689647927 | NPPES |
| Oregon | Other | 930045112 | IND RAILROAD |
| Oregon | Other | 000188009 | IND RAILROAD |
| Oregon | Other | 0128541 | IND RAILROAD |
| Oregon | MEDICAID | 141010 | IND RAILROAD |
| Oregon | Other | J406402 | IND RAILROAD |
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