Matchett, Wilma Jean

Matchett, Wilma Jean is an individual health care provider with primary practice located at 500 S University Ave Suite 101, Little Rock AR 72205-5302. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is her primary health care specialty. Matchett, Wilma Jean can be contacted via phone (501) 664-3914.

Contact Information

Primary practice address
500 S University Ave Suite 101 Little Rock AR 72205-5302
Phone: (501) 664-3914
Fax: (501) 664-5246
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X C7501 Arkansas
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X C7501 Arkansas

Profile Details

NPI number 1316934649
LBN Legal business name Matchett, Wilma Jean
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2005
Last updated Dec 7th, 2011 - 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 1316934649 NPPES
Arkansas MEDICAID 123405001

Popular Providers