Jerry, Jason Matthew

Jerry, Jason Matthew is an individual health care provider with primary practice located at 35 Memorial Dr , Pinehurst NC 28374-8708. He recently has only one registered license in Allopathic & Osteopathic Physicians / Addiction Medicine, which is considered as his primary health care specialty. Jerry, Jason Matthew can be contacted via phone (910) 715-3376.

Contact Information

Primary practice address
35 Memorial Dr Pinehurst NC 28374-8708
Phone: (910) 715-3376
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 2084A0401X ME86759 Florida
Allopathic & Osteopathic Physicians / Addiction Medicine 2084A0401X 2016-02570 North Carolina

Profile Details

NPI number 1023284353
LBN Legal business name Jerry, Jason Matthew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 6th, 2008
Last updated May 9th, 2017 - about 7 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 1023284353 NPPES
Ohio MEDICAID 3065454
Ohio MEDICAID 1023284353

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