Matthews, Wallace J

Matthews, Wallace J is an sole proprietor health care provider with primary practice located at 1350 S King St Suite 300, Honolulu HI 96814-2009. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Pulmonology. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Matthews, Wallace J can be contacted via phone (808) 593-9944.

Contact Information

Primary practice address
1350 S King St Suite 300 Honolulu HI 96814-2009
Phone: (808) 593-9944
Fax: (808) 593-0565
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD4255 Hawaii
Allopathic & Osteopathic Physicians / Pediatric Pulmonology 2080P0214X MD4255 Hawaii

Profile Details

NPI number 1619078615
LBN Legal business name Matthews, Wallace J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 25th, 2006
Last updated Jul 8th, 2007 - about 17 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 1619078615 NPPES
Hawaii MEDICAID 00519101
Hawaii Other MD4255-01
Hawaii Other 0000004481
Hawaii Other 00519101
Hawaii Other 192509
Hawaii Other 04481
Hawaii Other J4489

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