Johnson, Matthew Young

Johnson, Matthew Young is an individual health care provider with primary practice located at 831 1St St N , Alabaster AL 35007-8944. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Johnson, Matthew Young can be contacted via phone (205) 620-1085.

Contact Information

Primary practice address
831 1St St N Alabaster AL 35007-8944
Phone: (205) 620-1085
Fax: (205) 620-1091
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA.509 Alabama

Profile Details

NPI number 1801931001
LBN Legal business name Johnson, Matthew Young
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2007
Last updated Oct 25th, 2018 - 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 1801931001 NPPES
Alabama Other 51005353 BLUE CROSS
Alabama MEDICAID 009942984 BLUE CROSS

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