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
Phone: (319) 753-0112
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1750345708 | NPPES |
Iowa | MEDICAID | 0012286 |
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