Gembala, Matthew Ian
Gembala, Matthew Ian is an individual health care provider with primary practice located at 2201 N Vickey St Ste 110 , Flagstaff AZ 86004-6126. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Gembala, Matthew Ian can be contacted via phone (928) 213-9460.Contact Information
Primary practice address
2201 N Vickey St Ste 110
Flagstaff AZ 86004-6126
Phone: (928) 213-9460
Fax: (928) 213-9465
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 35737 | Arizona |
Profile Details
| NPI number | 1114950185 |
|---|---|
| LBN Legal business name | Gembala, Matthew Ian |
| Credentials | M.D., M.P.H. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 10th, 2006 |
| Last updated | Oct 29th, 2019 - about 6 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 | 1114950185 | NPPES |
| Arizona | MEDICAID | 1114950185-01 |
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