Matson, Alan Howard

Matson, Alan Howard is an individual health care provider with primary practice located at 77 N Airlite St , Elgin IL 60123-4912. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Matson, Alan Howard can be contacted via phone (847) 931-5694.

Contact Information

Primary practice address
77 N Airlite St Elgin IL 60123-4912
Phone: (847) 931-5694
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 01067590A Indiana
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 036-095385 Illinois

Profile Details

NPI number 1316038813
LBN Legal business name Matson, Alan Howard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2006
Last updated Mar 7th, 2023 - about 2 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 1316038813 NPPES
Illinois Other 036095385 STATE LICENSE #
Illinois MEDICAID 036095385 STATE LICENSE #
Illinois MEDICAID 200971740A STATE LICENSE #
Illinois Other 01067590A STATE LICENSE #
Illinois Other 1620188 STATE LICENSE #

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