Loudon, Matthew
Loudon, Matthew is an individual health care provider with primary practice located at 3331 E Meridian Park Loop , Wasilla AK 99654-7294. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Loudon, Matthew can be contacted via phone (907) 357-2332.Contact Information
Primary practice address
3331 E Meridian Park Loop
Wasilla AK 99654-7294
Phone: (907) 357-2332
Fax: (907) 357-2344
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PADA1257 | Alaska |
Profile Details
| NPI number | 1922498781 |
|---|---|
| LBN Legal business name | Loudon, Matthew |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 2nd, 2015 |
| Last updated | Feb 21st, 2016 - 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 | 1922498781 | NPPES |
| Alaska | Other | PADA 1257 | STATE OF ALASKA PERMANENT LICENSE |
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