Simpson, Matthew Shane
Simpson, Matthew Shane is an individual health care provider with primary practice located at 21105 Eva St Suite 100, Montgomery TX 77356-1706. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Simpson, Matthew Shane can be contacted via phone (936) 597-8585.Contact Information
Primary practice address
21105 Eva St Suite 100
Montgomery TX 77356-1706
Phone: (936) 597-8585
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | L3834 | Texas |
Profile Details
| NPI number | 1518055433 |
|---|---|
| LBN Legal business name | Simpson, Matthew Shane |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 10th, 2006 |
| Last updated | Apr 6th, 2017 - about 7 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 | 1518055433 | NPPES |
| Texas | MEDICAID | 158689303 | |
| Texas | Other | 8FT500 | |
| Texas | Other | P01626932 | |
| Texas | MEDICAID | 158689301 |
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