Matthews Iii, James C.

Matthews Iii, James C. is an individual health care provider with primary practice located at 1800 12Th St , Meridian MS 39301-4158. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Matthews Iii, James C. can be contacted via phone (601) 703-9265.

Contact Information

Primary practice address
1800 12Th St Meridian MS 39301-4158
Fax: (601) 703-9936
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 14769 Mississippi

Profile Details

NPI number 1164417598
LBN Legal business name Matthews Iii, James C.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2005
Last updated Nov 9th, 2013 - about 12 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 1164417598 NPPES
Mississippi MEDICAID 00116777
Mississippi Other 080084092
Mississippi MEDICAID 009607830

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