Lockwood, Matthew Blake

Lockwood, Matthew Blake is an individual health care provider with primary practice located at 3232 N Northhills Blvd , Fayetteville AR 72703-4005. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Lockwood, Matthew Blake can be contacted via phone (479) 587-1700.

Contact Information

Primary practice address
3232 N Northhills Blvd Fayetteville AR 72703-4005
Phone: (479) 587-1700
Fax: (479) 587-1366
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X E-9626 Arkansas

Profile Details

NPI number 1265875470
LBN Legal business name Lockwood, Matthew Blake
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 8th, 2013
Last updated Jan 31st, 2024 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265875470 NPPES
Arkansas MEDICAID 200072991
Arkansas MEDICAID 200830090A
Arkansas MEDICAID 234603001

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