Kutcher, Matthew Emery
Kutcher, Matthew Emery is an individual health care provider with primary practice located at 2500 North State Street , Jackson MS 39216-4500. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Trauma Surgery. Allopathic & Osteopathic Physicians / Trauma Surgery is his primary health care specialty. Kutcher, Matthew Emery can be contacted via phone (601) 984-5452.Contact Information
Primary practice address
2500 North State Street
Jackson MS 39216-4500
Phone: (601) 984-5452
Fax: (601) 815-3322
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | MD454907 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Trauma Surgery | 2086S0127X | 24484 | Mississippi |
Profile Details
| NPI number | 1255573812 |
|---|---|
| LBN Legal business name | Kutcher, Matthew Emery |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 28th, 2009 |
| Last updated | Apr 28th, 2017 - about 8 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 | 1255573812 | NPPES |
| Mississippi | Other | P01815329 | RAILROAD MEDICARE |
| Mississippi | MEDICAID | 07331276 | RAILROAD MEDICARE |
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