Hough, Matthew G
Hough, Matthew G is an individual health care provider with primary practice located at 791 Jonestown Rd , Winston Salem NC 27103-1252. He recently has only one registered license in Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, which is considered as his primary health care specialty. Hough, Matthew G can be contacted via phone (336) 716-4551.Contact Information
Primary practice address
791 Jonestown Rd
Winston Salem NC 27103-1252
Phone: (336) 716-4551
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | 200301472 | North Carolina |
Profile Details
| NPI number | 1700860772 |
|---|---|
| LBN Legal business name | Hough, Matthew G |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 2nd, 2005 |
| Last updated | Sep 3rd, 2015 - about 9 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 | 1700860772 | NPPES |
| North Carolina | MEDICAID | 89135XF | |
| North Carolina | MEDICAID | 2007390000 | |
| North Carolina | Other | D1523 | |
| North Carolina | Other | 803863 | |
| North Carolina | Other | 7655636 | |
| North Carolina | MEDICAID | 10069131 | |
| North Carolina | Other | 135XF |
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