Gimpert, Matthew J

Gimpert, Matthew J is an individual health care provider with primary practice located at 745 Poplar Road , Newnan GA 32605-1618. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Gimpert, Matthew J can be contacted via phone (770) 400-1000.

Contact Information

Primary practice address
745 Poplar Road Newnan GA 32605-1618
Phone: (770) 400-1000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 036-114640 Illinois
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036-114640 Illinois
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 068165 Georgia

Profile Details

NPI number 1568470961
LBN Legal business name Gimpert, Matthew J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2006
Last updated Mar 3rd, 2016 - 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 1568470961 NPPES
Illinois Other 08232205 BLUE CROSS BLUE SHIELD
Illinois Other P01064321 BLUE CROSS BLUE SHIELD
Illinois Other P00351066 BLUE CROSS BLUE SHIELD
Illinois Other 0008232173 BLUE CROSS BLUE SHIELD
Illinois MEDICAID 003125660H BLUE CROSS BLUE SHIELD

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