Gay, Matthew Justin

Gay, Matthew Justin is an individual health care provider with primary practice located at 1200 N Telegraph Rd , Pontiac MI 48341-1032. He recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as his primary health care specialty. Gay, Matthew Justin can be contacted via phone (800) 231-1127.

Contact Information

Primary practice address
1200 N Telegraph Rd Pontiac MI 48341-1032
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X Michigan

Profile Details

NPI number 1811404833
LBN Legal business name Gay, Matthew Justin
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 29th, 2017
Last updated Dec 29th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811404833 NPPES
Michigan Other EWE23D2DQ2D OTHER

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