Elliott, Matthew Ryan

Elliott, Matthew Ryan is an individual health care provider with primary practice located at 3158 Freedom Dr Ste 3101 , Charlotte NC 28208-0014. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Elliott, Matthew Ryan can be contacted via phone (704) 348-2992.

Contact Information

Primary practice address
3158 Freedom Dr Ste 3101 Charlotte NC 28208-0014
Phone: (704) 348-2992
Fax: (704) 971-0035
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 2012-00895 North Carolina

Profile Details

NPI number 1215191143
LBN Legal business name Elliott, Matthew Ryan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2008
Last updated Jul 6th, 2023 - about 2 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 1215191143 NPPES
North Carolina MEDICAID 5920982

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