Matos, Manuel John
Matos, Manuel John is an sole proprietor health care provider with primary practice located at 230 W Jersey St Ste 302, Elizabeth NJ 07202-1352. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Matos, Manuel John can be contacted via phone (908) 282-6998.Contact Information
Primary practice address
230 W Jersey St Ste 302
Elizabeth NJ 07202-1352
Phone: (908) 282-6998
Fax: (908) 282-0306
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 22DI02076600 | New Jersey |
Profile Details
| NPI number | 1407859408 |
|---|---|
| LBN Legal business name | Matos, Manuel John |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 23rd, 2005 |
| Last updated | Jun 21st, 2013 - about 11 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 | 1407859408 | NPPES |
| New Jersey | MEDICAID | 8265607 |
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