Matthews, Carol A

Matthews, Carol A is an individual health care provider with primary practice located at 909 E Republic Rd Ste D200 , Springfield MO 65807-6012. She recently has only one registered license in Nursing Service Providers / General Practice, which is considered as her primary health care specialty. Matthews, Carol A can be contacted via phone (417) 883-7889.

Contact Information

Primary practice address
909 E Republic Rd Ste D200 Springfield MO 65807-6012
Phone: (417) 883-7889
Fax: (417) 890-6151
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / General Practice 163WG0000X 058827 Missouri

Profile Details

NPI number 1619949427
LBN Legal business name Matthews, Carol A
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2006
Last updated Apr 11th, 2022 - 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 1619949427 NPPES
Missouri MEDICAID 427725924

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