Mahon, William Matthew

Mahon, William Matthew is an individual health care provider with primary practice located at 510 Cypress St Ste D , Fort Bragg CA 95437-5411. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as his primary health care specialty. Mahon, William Matthew can be contacted via phone (707) 964-5696.

Contact Information

Primary practice address
510 Cypress St Ste D Fort Bragg CA 95437-5411
Phone: (707) 964-5696
Fax: (707) 964-6274
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X G30967 California

Profile Details

NPI number 1184646259
LBN Legal business name Mahon, William Matthew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2006
Last updated Feb 15th, 2012 - about 13 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1184646259 NPPES
California MEDICAID OOG309670

Popular Providers