Matthews, Edwin Keith

Matthews, Edwin Keith is an individual health care provider with primary practice located at 2422 Danville Road Suite E, Decatur AL 35603. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Matthews, Edwin Keith can be contacted via phone (256) 355-9040.

Contact Information

Primary practice address
2422 Danville Road Suite E Decatur AL 35603
Phone: (256) 355-9040
Fax: (256) 355-9048
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 25048 Alabama
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 00025048 Alabama

Profile Details

NPI number 1316965908
LBN Legal business name Matthews, Edwin Keith
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated Oct 1st, 2020 - about 4 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 1316965908 NPPES
Alabama MEDICAID 630105060
Alabama Other 51513850
Alabama MEDICAID 529402090

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