Pride, Matthew Barry

Pride, Matthew Barry is an individual health care provider with primary practice located at 3317 Chanate Rd Ste 2C, Santa Rosa CA 95404. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Pride, Matthew Barry can be contacted via phone (707) 570-1130.

Contact Information

Primary practice address
3317 Chanate Rd Ste 2C Santa Rosa CA 95404
Phone: (707) 570-1130
Fax: (707) 526-1572
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X G78085 California

Profile Details

NPI number 1588627855
LBN Legal business name Pride, Matthew Barry
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 8th, 2006
Last updated Jul 8th, 2007 - about 18 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 1588627855 NPPES
California MEDICAID OOG780850

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