Matthews, David P

Matthews, David P is an individual health care provider with primary practice located at 145 N Main St , Fond Du Lac WI 54935-3423. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Matthews, David P can be contacted via phone (920) 926-8492.

Contact Information

Primary practice address
145 N Main St Fond Du Lac WI 54935-3423
Phone: (920) 926-8492
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 36259 Wisconsin

Profile Details

NPI number 1518949882
LBN Legal business name Matthews, David P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 14th, 2005
Last updated Nov 6th, 2007 - about 17 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 1518949882 NPPES
Wisconsin MEDICAID 32236900
Wisconsin Other 36259
Wisconsin Other 12610

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