Pavelka, Matthew
Pavelka, Matthew is an individual health care provider with primary practice located at 1003 Willow Creek Rd , Prescott AZ 86301-1641. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Pavelka, Matthew can be contacted via phone (928) 445-2700.Contact Information
Primary practice address
1003 Willow Creek Rd
Prescott AZ 86301-1641
Phone: (928) 445-2700
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 49333 | Arizona |
Profile Details
| NPI number | 1184937310 |
|---|---|
| LBN Legal business name | Pavelka, Matthew |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 16th, 2010 |
| Last updated | Sep 4th, 2020 - about 5 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 | 1184937310 | NPPES |
| Arizona | MEDICAID | 924528 |
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