Matthews, Marilyn L
Matthews, Marilyn L is an individual health care provider with primary practice located at 546 Harkle Road Suite B, Santa Fe NM 87505-4784. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Matthews, Marilyn L can be contacted via phone (505) 471-9202.Contact Information
Primary practice address
546 Harkle Road Suite B
Santa Fe NM 87505-4784
Phone: (505) 471-9202
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 8687 | New Mexico |
Profile Details
| NPI number | 1972628618 |
|---|---|
| LBN Legal business name | Matthews, Marilyn L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 20th, 2007 |
| Last updated | Mar 2nd, 2009 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972628618 | NPPES |
| Other | 362443300 | DOL | |
| Other | P00093427 | DOL |
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