Matos, Luis Angel
Matos, Luis Angel is an individual health care provider with primary practice located at 1019A Vista Park Dr , Forest VA 24551-4901. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Allergy/Immunology, Allopathic & Osteopathic Physicians / Allergy. Allopathic & Osteopathic Physicians / Allergy is his primary health care specialty. Matos, Luis Angel can be contacted via phone (434) 515-0419.Contact Information
Primary practice address
1019A Vista Park Dr
Forest VA 24551-4901
Phone: (434) 515-0419
Fax: (844) 693-9305
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 0101056392 | Virginia |
Allopathic & Osteopathic Physicians / Pediatric Allergy/Immunology | 2080P0201X | 0101056392 | Virginia |
Allopathic & Osteopathic Physicians / Allergy | 207KA0200X | 0101056392 | Virginia |
Profile Details
NPI number | 1972506509 |
---|---|
LBN Legal business name | Matos, Luis Angel |
Credentials | M.D., MBA |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 27th, 2005 |
Last updated | Apr 10th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1972506509 | NPPES |
Virginia | MEDICAID | 5804426 |
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