Herndon, Matthew B
Herndon, Matthew B is an individual health care provider with primary practice located at 927 Franklin St Se , Huntsville AL 35801-4306. 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. Herndon, Matthew B can be contacted via phone (256) 539-2728.Contact Information
Primary practice address
927 Franklin St Se
Huntsville AL 35801-4306
Phone: (256) 539-2728
Fax: (256) 428-3423
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA396 | Alabama |
Profile Details
| NPI number | 1235198417 |
|---|---|
| LBN Legal business name | Herndon, Matthew B |
| Credentials | PA C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 17th, 2006 |
| Last updated | Feb 2nd, 2010 - about 15 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 | 1235198417 | NPPES |
| Alabama | Other | 0900180 | UNITED HEALTHCARE |
| Alabama | Other | 51000085 | UNITED HEALTHCARE |
| Alabama | MEDICAID | 009978295 | UNITED HEALTHCARE |
| Alabama | Other | 7346659 | UNITED HEALTHCARE |
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