Gaeta, Matthew D
Gaeta, Matthew D is an individual health care provider with primary practice located at 1723 Broadway St Suite 220, Cape Girardeau MO 63701-4505. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Gaeta, Matthew D can be contacted via phone (573) 331-7910.Contact Information
Primary practice address
1723 Broadway St Suite 220
Cape Girardeau MO 63701-4505
Phone: (573) 331-7910
Fax: (573) 331-7919
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 2007018011 | Missouri |
Profile Details
| NPI number | 1336247915 |
|---|---|
| LBN Legal business name | Gaeta, Matthew D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 20th, 2006 |
| Last updated | Jul 13th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336247915 | NPPES |
| Missouri | Other | 2007018011 | MISSOURI LICENSE |
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