Namihas, Matthew Alexander
Namihas, Matthew Alexander is an individual health care provider with primary practice located at 802 Ainsworth Dr Suite A, Prescott AZ 86301-1623. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Namihas, Matthew Alexander can be contacted via phone (928) 776-0601.Contact Information
Primary practice address
802 Ainsworth Dr Suite A
Prescott AZ 86301-1623
Phone: (928) 776-0601
Fax: (928) 776-0620
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 3262 | Arizona |
Profile Details
| NPI number | 1043243801 |
|---|---|
| LBN Legal business name | Namihas, Matthew Alexander |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 7th, 2006 |
| Last updated | Nov 1st, 2007 - about 17 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 | 1043243801 | NPPES |
| Arizona | MEDICAID | 181976 | |
| Arizona | Other | WCSKQ |
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