Neddo, Matthew Memmott

Neddo, Matthew Memmott is an individual health care provider with primary practice located at 2500 S Lake Park Blvd , West Valley City UT 84120-8218. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Neddo, Matthew Memmott can be contacted via phone (801) 902-4238.

Contact Information

Primary practice address
2500 S Lake Park Blvd West Valley City UT 84120-8218
Phone: (801) 902-4238
Fax: (801) 266-6916
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 373676-1206 Utah

Profile Details

NPI number 1215091525
LBN Legal business name Neddo, Matthew Memmott
Credentials PA-C, MPAS
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 21st, 2006
Last updated Nov 16th, 2023 - about 3 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 1215091525 NPPES
Utah Other 373676-1206 STATE LICENSE

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