Pace, Matthew Tyler

Pace, Matthew Tyler is an individual health care provider with primary practice located at 1260 N Arendell Ave , Zebulon NC 27597-8730. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Pace, Matthew Tyler can be contacted via phone (919) 235-1965.

Contact Information

Primary practice address
1260 N Arendell Ave Zebulon NC 27597-8730
Phone: (919) 235-1965
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0010-11059 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 0010-11059 North Carolina

Profile Details

NPI number 1801404496
LBN Legal business name Pace, Matthew Tyler
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2020
Last updated May 24th, 2024 - about last year

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 1801404496 NPPES
North Carolina MEDICAID 1801404496

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