Easley, Matthew
Easley, Matthew is an individual health care provider with primary practice located at 2854 Coral Court, Ste 1 On With Life Outpatient Neuro Rehabilitation, Coralville IA 52241. He recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as his primary health care specialty. Easley, Matthew can be contacted via phone (319) 259-6224.Contact Information
Primary practice address
2854 Coral Court, Ste 1 On With Life Outpatient Neuro Rehabilitation
Coralville IA 52241
Phone: (319) 259-6224
Fax: (319) 249-6643
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 097425 | Iowa |
Profile Details
NPI number | 1851938690 |
---|---|
LBN Legal business name | Easley, Matthew |
Credentials | Master of Arts (MA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 27th, 2019 |
Last updated | Nov 27th, 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 | 1851938690 | NPPES |
Iowa | MEDICAID | 42-1308032 |
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