Mathew, Emily Suzanne

Mathew, Emily Suzanne is an individual health care provider with primary practice located at 5950 Metro Way Sw , Wyoming MI 49519-9514. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Mathew, Emily Suzanne can be contacted via phone (616) 252-8100.

Contact Information

Primary practice address
5950 Metro Way Sw Wyoming MI 49519-9514
Phone: (616) 252-8100
Fax: (616) 252-8181
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 745774 Texas
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP122357 Texas
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 4704240951 Michigan

Profile Details

NPI number 1205196458
LBN Legal business name Mathew, Emily Suzanne
Credentials NP,RN, APN
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2012
Last updated Mar 17th, 2018 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1205196458 NPPES
Texas Other P01879999 RAILROAD
Texas MEDICAID 305234201 RAILROAD
Texas Other 885N91 RAILROAD
Texas MEDICAID 305234202 RAILROAD
Texas Other 4704240951 RAILROAD

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