Herren, Matthew T.

Herren, Matthew T. is an individual health care provider with primary practice located at 4901 Grande Dr , Pensacola FL 32504-5935. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Herren, Matthew T. can be contacted via phone (850) 477-7042.

Contact Information

Primary practice address
4901 Grande Dr Pensacola FL 32504-5935
Phone: (850) 477-7042
Fax: (850) 474-9060
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X OS8910 Florida

Profile Details

NPI number 1649271875
LBN Legal business name Herren, Matthew T.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2005
Last updated Nov 14th, 2011 - about 13 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 1649271875 NPPES
Alabama MEDICAID 131511
Alabama Other C400
Alabama MEDICAID 009924355
Alabama MEDICAID 267431900
Alabama Other 592-15448
Alabama Other 79033
Alabama Other P000048462
Alabama Other 59168368

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