Noonan, Matthew J
Noonan, Matthew J is an individual health care provider with primary practice located at 1600 Sw Archer Rd , Gainesville FL 32610-1473. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant, which is considered as his primary health care specialty. Noonan, Matthew J can be contacted via phone (352) 273-8610.Contact Information
Primary practice address
1600 Sw Archer Rd
Gainesville FL 32610-1473
Phone: (352) 273-8610
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant | 367H00000X | 135.0000036 | Vermont |
Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant | 367H00000X | 003913 | Georgia |
Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant | 367H00000X | AA498 | Florida |
Profile Details
NPI number | 1215969951 |
---|---|
LBN Legal business name | Noonan, Matthew J |
Credentials | PAAA |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 6th, 2006 |
Last updated | Sep 23rd, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1215969951 | NPPES |
Florida | MEDICAID | 103736800 | |
Florida | MEDICAID | 598163770B |
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