Radack, Matthew Chet

Radack, Matthew Chet is an individual health care provider with primary practice located at 4402 Shipyard Blvd , Wilmington NC 28403-6161. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Radack, Matthew Chet can be contacted via phone (910) 452-1400.

Contact Information

Primary practice address
4402 Shipyard Blvd Wilmington NC 28403-6161
Phone: (910) 452-1400
Fax: (910) 332-1072
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 9701118 North Carolina

Profile Details

NPI number 1508861998
LBN Legal business name Radack, Matthew Chet
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2005
Last updated Mar 17th, 2020 - about 4 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 1508861998 NPPES
North Carolina Other 1072P BCBS
North Carolina MEDICAID 891072P BCBS
North Carolina Other B4555 BCBS
North Carolina Other 930084659 BCBS
North Carolina Other 930077046 BCBS
North Carolina MEDICAID Q01118 BCBS
North Carolina Other 01-28748 BCBS

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