Sideman, Matthew Jay
Sideman, Matthew Jay is an individual health care provider with primary practice located at 8300 Floyd Curl Dr Fl 4 , San Antonio TX 78229-3931. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Sideman, Matthew Jay can be contacted via phone (210) 450-9888.Contact Information
Primary practice address
8300 Floyd Curl Dr Fl 4
San Antonio TX 78229-3931
Phone: (210) 450-9888
Fax: (210) 450-6041
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | N4100 | Texas |
Allopathic & Osteopathic Physicians / Surgery | 208600000X | N4100 | Texas |
Profile Details
NPI number | 1386614774 |
---|---|
LBN Legal business name | Sideman, Matthew Jay |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 26th, 2006 |
Last updated | Dec 2nd, 2021 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1386614774 | NPPES |
Oklahoma | MEDICAID | 100845890B | |
Oklahoma | MEDICAID | 201386401 | |
Oklahoma | Other | 201386402 | |
Oklahoma | Other | 8BX924 |
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