Matin, Fazle
Matin, Fazle is an individual health care provider with primary practice located at 203 West Lee Street , Tuskegee AL 36083. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Matin, Fazle can be contacted via phone (334) 727-7050.Contact Information
Primary practice address
203 West Lee Street
Tuskegee AL 36083
Phone: (334) 727-7050
Fax: (334) 727-6284
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 00022310 | Alabama |
Profile Details
| NPI number | 1053452417 |
|---|---|
| LBN Legal business name | Matin, Fazle |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 9th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1053452417 | NPPES |
| Alabama | Other | 51005213 | BC |
| Alabama | MEDICAID | 631000021 | BC |
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