Matlock, Marvin Perry

Matlock, Marvin Perry is an individual health care provider with primary practice located at 30 Oki Place , Kaunakakai HI 96748. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Matlock, Marvin Perry can be contacted via phone (808) 553-5038.

Contact Information

Primary practice address
30 Oki Place Kaunakakai HI 96748
Phone: (808) 553-5038
Fax: (808) 553-3780
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X G30634 California
Other Service Providers / Specialist 174400000X MD17722 Hawaii

Profile Details

NPI number 1740245067
LBN Legal business name Matlock, Marvin Perry
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2006
Last updated Mar 1st, 2016 - about 9 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 1740245067 NPPES
California MEDICAID 00G306340

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