Smith, Matthew L

Smith, Matthew L is an sole proprietor health care provider with primary practice located at 1060 Cerrillos Rd , Santa Fe NM 87505-1650. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / School, Nursing Service Providers / Registered Nurse. Nursing Service Providers / Registered Nurse is his primary health care specialty. Smith, Matthew L can be contacted via phone (505) 476-6410.

Contact Information

Primary practice address
1060 Cerrillos Rd Santa Fe NM 87505-1650
Phone: (505) 476-6410
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / School 163WS0200X 291816 New Mexico
Nursing Service Providers / Registered Nurse 163W00000X R26377 New Mexico

Profile Details

NPI number 1285101246
LBN Legal business name Smith, Matthew L
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 29th, 2018
Last updated Jun 10th, 2019 - about 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285101246 NPPES
New Mexico MEDICAID 36672548

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