Matthews, Marc R.

Matthews, Marc R. is an individual health care provider with primary practice located at 2525 E Roosevelt St , Phoenix AZ 85008-4948. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgical Critical Care, which is considered as his primary health care specialty. Matthews, Marc R. can be contacted via phone (602) 344-1015.

Contact Information

Primary practice address
2525 E Roosevelt St Phoenix AZ 85008-4948
Phone: (602) 344-1015
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X 27263 Arizona

Profile Details

NPI number 1871533000
LBN Legal business name Matthews, Marc R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2006
Last updated Mar 4th, 2015 - about 9 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 1871533000 NPPES
Arizona MEDICAID 804296

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