Mcquaid, Matthew

Mcquaid, Matthew is an individual health care provider with primary practice located at 5150 Hill Rd E Ste A, Lakeport CA 95453-5100. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Podiatric Medicine & Surgery Service Providers / Podiatrist. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is his primary health care specialty. Mcquaid, Matthew can be contacted via phone (707) 263-3727.

Contact Information

Primary practice address
5150 Hill Rd E Ste A Lakeport CA 95453-5100
Phone: (707) 263-3727
Fax: (707) 263-5236
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X E3998 California
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X E3998 California

Profile Details

NPI number 1962405613
LBN Legal business name Mcquaid, Matthew
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2005
Last updated Apr 7th, 2011 - about 13 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 1962405613 NPPES
California MEDICAID 000E39980
California Other 480028899

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