Kadalikattil Thomas, Mathew
Kadalikattil Thomas, Mathew is an individual health care provider with primary practice located at 1138 Cheraw St , Bennettsville SC 29512-2466. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Emergency Medical Services, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Kadalikattil Thomas, Mathew can be contacted via phone (843) 454-8580.Contact Information
Primary practice address
1138 Cheraw St
Bennettsville SC 29512-2466
Phone: (843) 454-8580
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 31752 | South Carolina |
Allopathic & Osteopathic Physicians / Emergency Medical Services | 207PE0004X | 31752 | South Carolina |
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | New York |
Profile Details
NPI number | 1023255858 |
---|---|
LBN Legal business name | Kadalikattil Thomas, Mathew |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 15th, 2009 |
Last updated | Sep 1st, 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 | 1023255858 | NPPES |
Rhode Island | MEDICAID | 317525 |
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