Moake, Matthew Morgan

Moake, Matthew Morgan is an individual health care provider with primary practice located at 171 Ashley Ave , Charleston SC 29425-2106. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine. Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine is his primary health care specialty. Moake, Matthew Morgan can be contacted via phone (843) 792-0269.

Contact Information

Primary practice address
171 Ashley Ave Charleston SC 29425-2106
Phone: (843) 792-0269
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 39233 South Carolina
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X 39233 South Carolina

Profile Details

NPI number 1073958120
LBN Legal business name Moake, Matthew Morgan
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2013
Last updated Dec 14th, 2020 - about 4 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 1073958120 NPPES
South Carolina Other 39233 SC LLR

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