Ford, Matthew D

Ford, Matthew D is an individual health care provider with primary practice located at 130 S Broadway St , New Philadelphia OH 44663-3829. He recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as his primary health care specialty. Ford, Matthew D can be contacted via phone (330) 343-1215.

Contact Information

Primary practice address
130 S Broadway St New Philadelphia OH 44663-3829
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X

Profile Details

NPI number 1841561412
LBN Legal business name Ford, Matthew D
Credentials LDO
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 13th, 2012
Last updated Jul 13th, 2012 - about 12 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 1841561412 NPPES
Ohio MEDICAID 0062829

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