Mclaughlin, Matthew David

Mclaughlin, Matthew David is an individual health care provider with primary practice located at 980 W Ironwood Dr Ste 104, Coeur D Alene ID 83814-2668. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Mclaughlin, Matthew David can be contacted via phone (208) 667-0621.

Contact Information

Primary practice address
980 W Ironwood Dr Ste 104 Coeur D Alene ID 83814-2668
Phone: (208) 667-0621
Fax: (208) 664-1709
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X O-0434 Idaho

Profile Details

NPI number 1215071469
LBN Legal business name Mclaughlin, Matthew David
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 19th, 2007
Last updated May 25th, 2012 - about 12 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 1215071469 NPPES
Idaho MEDICAID 807786900

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