Gambone, Matthew
Gambone, Matthew is an individual health care provider with primary practice located at 1810 116Th Ave Ne Suite D, Bellevue WA 98004-3058. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Gambone, Matthew can be contacted via phone (425) 455-2131.Contact Information
Primary practice address
1810 116Th Ave Ne Suite D
Bellevue WA 98004-3058
Phone: (425) 455-2131
Fax: (425) 455-2335
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA10003733 | Washington |
Profile Details
| NPI number | 1104869478 |
|---|---|
| LBN Legal business name | Gambone, Matthew |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 14th, 2006 |
| Last updated | Feb 28th, 2017 - about 8 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 | 1104869478 | NPPES |
| Colorado | MEDICAID | 1391507 |
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