Matthews, John Lyle

Matthews, John Lyle is an sole proprietor health care provider with primary practice located at 3725 National Dr Suite 227, Raleigh NC 27612-4066. He recently has only one registered license in Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, which is considered as his primary health care specialty. Matthews, John Lyle can be contacted via phone (919) 786-0055.

Contact Information

Primary practice address
3725 National Dr Suite 227 Raleigh NC 27612-4066
Phone: (919) 786-0055
Fax: (919) 786-1337
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 95-01331 North Carolina

Profile Details

NPI number 1548308471
LBN Legal business name Matthews, John Lyle
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 2nd, 2007
Last updated Apr 20th, 2008 - about 16 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 1548308471 NPPES
Other 1225G BCBS
MEDICAID 891225G BCBS

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