Everett, Matthew D

Everett, Matthew D is an individual health care provider with primary practice located at 500 London Ave , Marysville OH 43040-5512. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Everett, Matthew D can be contacted via phone (937) 644-6115.

Contact Information

Primary practice address
500 London Ave Marysville OH 43040-5512
Phone: (937) 644-6115
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 34005420E Ohio

Profile Details

NPI number 1609827716
LBN Legal business name Everett, Matthew D
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 13th, 2006
Last updated Oct 18th, 2007 - about 18 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 1609827716 NPPES
Ohio MEDICAID 0954918
Ohio Other P00123732
Ohio Other 000000315463

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