Mathew, Geo T

Mathew, Geo T is an individual health care provider with primary practice located at 1408 Commercial Way , Bakersfield CA 93309-0407. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Mathew, Geo T can be contacted via phone (661) 327-4455.

Contact Information

Primary practice address
1408 Commercial Way Bakersfield CA 93309-0407
Fax: (661) 633-5484
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA14627 California

Profile Details

NPI number 1215990205
LBN Legal business name Mathew, Geo T
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2006
Last updated Feb 2nd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215990205 NPPES
California MEDICAID PA0146270

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