Foster, Matthew

Foster, Matthew is an individual health care provider with primary practice located at 120 Meghan Ln , Judsonia AR 72081-9302. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Foster, Matthew can be contacted via phone (501) 729-4479.

Contact Information

Primary practice address
120 Meghan Ln Judsonia AR 72081-9302
Fax: (501) 729-3537
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X A1201001 Arkansas

Profile Details

NPI number 1033476700
LBN Legal business name Foster, Matthew
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 18th, 2012
Last updated Apr 18th, 2012 - about 13 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 1033476700 NPPES
Arkansas Other A1201001 LAC

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