Smith, Matthew J
Smith, Matthew J is an sole proprietor health care provider with primary practice located at 1753 W Ridgeway Ave Ste 103A , Waterloo IA 50701-4521. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Smith, Matthew J can be contacted via phone (319) 235-3568.Contact Information
Primary practice address
1753 W Ridgeway Ave Ste 103A
Waterloo IA 50701-4521
Phone: (319) 235-3568
Fax: (319) 235-5013
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 34208 | Iowa |
Profile Details
| NPI number | 1609876507 |
|---|---|
| LBN Legal business name | Smith, Matthew J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 21st, 2005 |
| Last updated | May 14th, 2020 - about 4 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 | 1609876507 | NPPES |
| Iowa | MEDICAID | 5212415 |
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