Rainbolt, Matthew Preston

Rainbolt, Matthew Preston is an sole proprietor health care provider with primary practice located at 3619 Desert Rose Ln , Lake Havasu City AZ 86404-1748. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Rainbolt, Matthew Preston can be contacted via phone (337) 349-6708.

Contact Information

Primary practice address
3619 Desert Rose Ln Lake Havasu City AZ 86404-1748
Phone: (337) 349-6708
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 6039 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0010-05706 North Carolina

Profile Details

NPI number 1124414693
LBN Legal business name Rainbolt, Matthew Preston
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 12th, 2015
Last updated Nov 15th, 2022 - about 3 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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