Sample, Matthew Allen
Sample, Matthew Allen is an individual health care provider with primary practice located at 3980 Colonnade Pkwy , Birmingham AL 35243-2382. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Sample, Matthew Allen can be contacted via phone (205) 510-5000.Contact Information
Primary practice address
3980 Colonnade Pkwy
Birmingham AL 35243-2382
Phone: (205) 510-5000
Fax: (205) 599-9080
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 47964 | Tennessee |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 47964 | Tennessee |
Profile Details
| NPI number | 1871736637 |
|---|---|
| LBN Legal business name | Sample, Matthew Allen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 9th, 2009 |
| Last updated | Jan 31st, 2018 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871736637 | NPPES |
| Tennessee | MEDICAID | 1529796 | |
| Tennessee | MEDICAID | 7100213920 | |
| Tennessee | Other | 6062216 |
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