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:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1285101246 | NPPES |
New Mexico | MEDICAID | 36672548 |
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