Peal, Gabriel Matonba
Peal, Gabriel Matonba is an sole proprietor health care provider with primary practice located at 500 S University Ave Ste 720 , Little Rock AR 72205-5345. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Colon & Rectal Surgery. Allopathic & Osteopathic Physicians / Colon & Rectal Surgery is his primary health care specialty. Peal, Gabriel Matonba can be contacted via phone (501) 558-4900.Contact Information
Primary practice address
500 S University Ave Ste 720
Little Rock AR 72205-5345
Phone: (501) 558-4900
Fax: (501) 558-4909
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | E1660 | Arkansas |
| Allopathic & Osteopathic Physicians / Colon & Rectal Surgery | 208C00000X | E1660 | Arkansas |
Profile Details
| NPI number | 1750352373 |
|---|---|
| LBN Legal business name | Peal, Gabriel Matonba |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 31st, 2006 |
| Last updated | Mar 7th, 2023 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750352373 | NPPES |
| Arkansas | Other | 485357 | MEDICARE INDIVIDUAL PTAN |
| Arkansas | Other | 485340 | MEDICARE INDIVIDUAL PTAN |
| Arkansas | MEDICAID | 133831001 | MEDICARE INDIVIDUAL PTAN |
| Arkansas | Other | 1609260157 | MEDICARE INDIVIDUAL PTAN |
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