Shivers, Matthew J

Shivers, Matthew J is an individual health care provider with primary practice located at 939 Angular St , Burlington IA 52601-3918. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Shivers, Matthew J can be contacted via phone (319) 753-0112.

Contact Information

Primary practice address
939 Angular St Burlington IA 52601-3918
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 15336 Iowa

Profile Details

NPI number 1750345708
LBN Legal business name Shivers, Matthew J
Credentials R.PH.
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2006
Last updated Jul 9th, 2007 - about 17 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 1750345708 NPPES
Iowa MEDICAID 0012286

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