Smitley, Matthew Charlew

Smitley, Matthew Charlew is an sole proprietor health care provider with primary practice located at 875 Perimeter Dr # Ms 2401 , Moscow ID 83844-7462. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Smitley, Matthew Charlew can be contacted via phone (208) 885-0349.

Contact Information

Primary practice address
875 Perimeter Dr # Ms 2401 Moscow ID 83844-7462
Phone: (208) 885-0349
Fax: (208) 885-5929
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X LAT-2518 North Carolina
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X AT-642 Idaho

Profile Details

NPI number 1588075121
LBN Legal business name Smitley, Matthew Charlew
Credentials DAT, LAT, ATC
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 16th, 2014
Last updated Sep 2nd, 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.

Request for update

Popular Providers