Prewitt, Matt P.

Prewitt, Matt P. is an individual health care provider with primary practice located at 2201 S Clear Creek Rd , Killeen TX 76549-4110. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Prewitt, Matt P. can be contacted via phone (254) 519-8871.

Contact Information

Primary practice address
2201 S Clear Creek Rd Killeen TX 76549-4110
Phone: (254) 519-8871
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 98-PA17 New Mexico
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA08154 Texas

Profile Details

NPI number 1023044898
LBN Legal business name Prewitt, Matt P.
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2006
Last updated Apr 29th, 2014 - about 11 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 1023044898 NPPES
New Mexico MEDICAID 25070363

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