Johnson, Mathew Bowen
Johnson, Mathew Bowen is an sole proprietor health care provider with primary practice located at 703 Alcorn Dr Suite 102, Corinth MS 38834-9302. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Johnson, Mathew Bowen can be contacted via phone (662) 286-2522.Contact Information
Primary practice address
703 Alcorn Dr Suite 102
Corinth MS 38834-9302
Phone: (662) 286-2522
Fax: (662) 293-4288
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 15536 | Mississippi |
Profile Details
| NPI number | 1134142334 |
|---|---|
| LBN Legal business name | Johnson, Mathew Bowen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 26th, 2006 |
| Last updated | May 14th, 2021 - about 4 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 | 1134142334 | NPPES |
| Mississippi | MEDICAID | 00122266 |
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