Matlock, Austin
Matlock, Austin is an sole proprietor health care provider with primary practice located at 820 Chestnut St 115 Jason Hall, Jefferson City MO 65101-3537. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Matlock, Austin can be contacted via phone (573) 681-5331.Contact Information
Primary practice address
820 Chestnut St 115 Jason Hall
Jefferson City MO 65101-3537
Phone: (573) 681-5331
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | 2011025934 | Missouri |
Profile Details
| NPI number | 1003236506 |
|---|---|
| LBN Legal business name | Matlock, Austin |
| Credentials | Athletic Trainer, Certified (ATC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 23rd, 2014 |
| Last updated | Apr 23rd, 2014 - about 10 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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