Smith, Matthew Donald
Smith, Matthew Donald is an individual health care provider with primary practice located at 1503 Elm St Suite E, Sanford NC 27330-5666. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Smith, Matthew Donald can be contacted via phone (919) 776-3750.Contact Information
Primary practice address
1503 Elm St Suite E
Sanford NC 27330-5666
Phone: (919) 776-3750
Fax: (919) 776-3760
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 0010-00775 | North Carolina |
Profile Details
| NPI number | 1134273014 |
|---|---|
| LBN Legal business name | Smith, Matthew Donald |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 22nd, 2007 |
| Last updated | Jul 23rd, 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 | 1134273014 | NPPES |
| North Carolina | MEDICAID | 69-66199 | |
| North Carolina | Other | 0010-00775 |
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