Johnston, Matthew D

Johnston, Matthew D is an individual health care provider with primary practice located at 1255 East 3900 South , Salt Lake City UT 84124. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Johnston, Matthew D can be contacted via phone (918) 272-2247.

Contact Information

Primary practice address
1255 East 3900 South Salt Lake City UT 84124
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 20266 Oklahoma
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 9824877-1205 Utah

Profile Details

NPI number 1982692307
LBN Legal business name Johnston, Matthew D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2005
Last updated Nov 16th, 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 1982692307 NPPES
Oklahoma MEDICAID 100091330A
Oklahoma Other 500522075

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