Pond, Matthew
Pond, Matthew is an individual health care provider with primary practice located at 1055 N Curtis Rd , Boise ID 83706-1309. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Pond, Matthew can be contacted via phone (208) 367-2161.Contact Information
Primary practice address
1055 N Curtis Rd
Boise ID 83706-1309
Phone: (208) 367-2161
Fax: (208) 367-2989
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 5924082-1205 | Utah |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | A111208 | California |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | M-13633 | Idaho |
Profile Details
| NPI number | 1184682551 |
|---|---|
| LBN Legal business name | Pond, Matthew |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 3rd, 2006 |
| Last updated | Apr 9th, 2018 - about 6 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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