Plummer, Matthew J

Plummer, Matthew J is an individual health care provider with primary practice located at 29928 Saint Simon St , Daphne AL 36526-9562. He recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Allopathic & Osteopathic Physicians / Emergency Medicine. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. Plummer, Matthew J can be contacted via phone (251) 583-3101.

Contact Information

Primary practice address
29928 Saint Simon St Daphne AL 36526-9562
Phone: (251) 583-3101
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA465 Alabama
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA465 Alabama
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X PA465 Alabama

Profile Details

NPI number 1174551873
LBN Legal business name Plummer, Matthew J
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2006
Last updated Oct 1st, 2010 - about 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174551873 NPPES
Alabama MEDICAID 122073
Alabama Other 511-07322
Alabama MEDICAID 009937279
Alabama MEDICAID 122065
Alabama MEDICAID 122069
Alabama MEDICAID 122739
Alabama Other 511-07320
Alabama Other 511-07321
Alabama MEDICAID 122071
Alabama Other 511-07323
Alabama Other 1174551873

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