Matz, Jonathan
Matz, Jonathan is an individual health care provider with primary practice located at 5430 Campbell Blvd Ste 103 , White Marsh MD 21162-5503. He recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy, which is considered as his primary health care specialty. Matz, Jonathan can be contacted via phone (410) 933-9404.Contact Information
Primary practice address
5430 Campbell Blvd Ste 103
White Marsh MD 21162-5503
Phone: (410) 933-9404
Fax: (410) 933-9405
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Allergy | 207KA0200X | D0043318 | Maryland |
Profile Details
| NPI number | 1013966100 |
|---|---|
| LBN Legal business name | Matz, Jonathan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 8th, 2006 |
| Last updated | Jan 21st, 2021 - about 3 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 | 1013966100 | NPPES |
| Maryland | MEDICAID | 123991100 |
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