Johnson, Matthew Charles
Johnson, Matthew Charles is an individual health care provider with primary practice located at 2240 Gateway Dr , Sycamore IL 60178-3103. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Johnson, Matthew Charles can be contacted via phone (815) 756-7136.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 036132348 | Illinois |
Profile Details
| NPI number | 1912133638 |
|---|---|
| LBN Legal business name | Johnson, Matthew Charles |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 9th, 2009 |
| Last updated | Sep 17th, 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 | 1912133638 | NPPES |
| Illinois | MEDICAID | 036132348 |
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