Personius, Matthew Lincoln
Personius, Matthew Lincoln is an individual health care provider with primary practice located at 183 Fairview Ln Suite A, Sonora CA 95370-4809. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Personius, Matthew Lincoln can be contacted via phone (209) 532-4287.Contact Information
Primary practice address
183 Fairview Ln Suite A
Sonora CA 95370-4809
Phone: (209) 532-4287
Fax: (209) 532-4289
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | A62512 | California |
Profile Details
| NPI number | 1528022712 |
|---|---|
| LBN Legal business name | Personius, Matthew Lincoln |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 14th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1528022712 | NPPES |
| California | Other | P00019043 | RAILROAD MEDICARE |
| California | MEDICAID | 00A625120 | RAILROAD MEDICARE |
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