Lebaron, Matthew Blaine
Lebaron, Matthew Blaine is an individual health care provider with primary practice located at 3050 E River Bluff Blvd , Ozark MO 65721-8807. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Lebaron, Matthew Blaine can be contacted via phone (417) 820-2829.Contact Information
Primary practice address
3050 E River Bluff Blvd
Ozark MO 65721-8807
Phone: (417) 820-2829
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | Indiana | |
Allopathic & Osteopathic Physicians / Sports Medicine | 207QS0010X | 2021010782 | Missouri |
Profile Details
NPI number | 1164913448 |
---|---|
LBN Legal business name | Lebaron, Matthew Blaine |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 23rd, 2018 |
Last updated | Sep 20th, 2022 - about 3 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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