Eldridge, Matthew Lockwood
Eldridge, Matthew Lockwood is an individual health care provider with primary practice located at 1250 16Th St , Santa Monica CA 90404-1249. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as his primary health care specialty. Eldridge, Matthew Lockwood can be contacted via phone (424) 259-6000.Contact Information
Primary practice address
1250 16Th St
Santa Monica CA 90404-1249
Phone: (424) 259-6000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | 95018339 | California |
Profile Details
| NPI number | 1285396804 |
|---|---|
| LBN Legal business name | Eldridge, Matthew Lockwood |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 11th, 2021 |
| Last updated | Oct 11th, 2021 - about 4 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 | 1285396804 | NPPES |
| California | Other | 95018339 | NURSE PRACTITIONER LICENSE NUMBER |
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