Flaherty, Matthew Robert

Flaherty, Matthew Robert is an individual health care provider with primary practice located at 250 E Dunlap Ave , Phoenix AZ 85020-2825. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Neurocritical Care. Allopathic & Osteopathic Physicians / Neurocritical Care is his primary health care specialty. Flaherty, Matthew Robert can be contacted via phone (480) 331-6721.

Contact Information

Primary practice address
250 E Dunlap Ave Phoenix AZ 85020-2825
Phone: (480) 331-6721
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X ME114563 Florida
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 50168 Arizona
Allopathic & Osteopathic Physicians / Neurocritical Care 2084A2900X 50168 Arizona

Profile Details

NPI number 1265797401
LBN Legal business name Flaherty, Matthew Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2012
Last updated Feb 8th, 2021 - about 3 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 1265797401 NPPES
Florida Other 14QW2 BLUE CROSS BLUE SHIELD
Florida MEDICAID 009047300 BLUE CROSS BLUE SHIELD

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