Rasberry, Matthew Michael

Rasberry, Matthew Michael is an individual health care provider with primary practice located at 5825 Airline Hwy , Baton Rouge LA 70805-2408. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Rasberry, Matthew Michael can be contacted via phone (225) 358-3940.

Contact Information

Primary practice address
5825 Airline Hwy Baton Rouge LA 70805-2408
Phone: (225) 358-3940
Fax: (225) 358-3939
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 204700 Louisiana

Profile Details

NPI number 1154581825
LBN Legal business name Rasberry, Matthew Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2008
Last updated Sep 21st, 2012 - about 13 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 1154581825 NPPES
Louisiana MEDICAID 1101141

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