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:
Health care specialties
Specialty | Code | License # | 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 14 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 | 1962405613 | NPPES |
California | MEDICAID | 000E39980 | |
California | Other | 480028899 |
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