Lavalle, Matthew Albert
Lavalle, Matthew Albert is an individual health care provider with primary practice located at 211 Saint Francis Dr , Cape Girardeau MO 63703-5049. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Lavalle, Matthew Albert can be contacted via phone (573) 334-7575.Contact Information
Primary practice address
211 Saint Francis Dr
Cape Girardeau MO 63703-5049
Phone: (573) 334-7575
Fax: (573) 334-7512
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Critical Care Medicine | 207LC0200X | 2001002335 | Missouri |
Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 2001002335 | Missouri |
Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 2001002335 | Missouri |
Profile Details
NPI number | 1063521078 |
---|---|
LBN Legal business name | Lavalle, Matthew Albert |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 30th, 2006 |
Last updated | Aug 1st, 2023 - about 2 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 | 1063521078 | NPPES |
Other | 461684 | HEALTHLINK | |
MEDICAID | 205317407 | HEALTHLINK | |
Other | 105181 | HEALTHLINK |
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