Lawrence, John Matthew

Lawrence, John Matthew is an individual health care provider with primary practice located at 829 N Center Ave Suite 210, Gaylord MI 49735-1595. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Lawrence, John Matthew can be contacted via phone (989) 731-7860.

Contact Information

Primary practice address
829 N Center Ave Suite 210 Gaylord MI 49735-1595
Phone: (989) 731-7860
Fax: (989) 731-7833
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5601006263 Michigan

Profile Details

NPI number 1235401712
LBN Legal business name Lawrence, John Matthew
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2012
Last updated Dec 22nd, 2020 - about 5 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 1235401712 NPPES
Other OF96004 MEDICARE GROUP NUMBER

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