Kimball, Matthew Michael
Kimball, Matthew Michael is an individual health care provider with primary practice located at 2 Medical Plaza Dr #205, Roseville CA 95661-3043. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Kimball, Matthew Michael can be contacted via phone (916) 773-8711.Contact Information
Primary practice address
2 Medical Plaza Dr #205
Roseville CA 95661-3043
Phone: (916) 773-8711
Fax: (916) 773-8712
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | ME103822 | Florida |
| Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | TRN10275 | Florida |
Profile Details
| NPI number | 1174609556 |
|---|---|
| LBN Legal business name | Kimball, Matthew Michael |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 28th, 2006 |
| Last updated | Mar 7th, 2023 - about last year |
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 | 1174609556 | NPPES |
| Florida | MEDICAID | 007180500 | |
| Florida | Other | ME103822 |
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