Tadlock, Matthew David
Tadlock, Matthew David is an sole proprietor health care provider with primary practice located at 200 W Arbor Dr , San Diego CA 92103-9000. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Aerospace Medicine, Allopathic & Osteopathic Physicians / Surgical Critical Care. Allopathic & Osteopathic Physicians / Surgical Critical Care is his primary health care specialty. Tadlock, Matthew David can be contacted via phone (800) 926-8273.Contact Information
Primary practice address
200 W Arbor Dr
San Diego CA 92103-9000
Phone: (800) 926-8273
Fax: (619) 532-6299
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Aerospace Medicine | 2083A0100X | 01058634A | Indiana |
Allopathic & Osteopathic Physicians / Surgical Critical Care | 2086S0102X | C54740 | California |
Profile Details
NPI number | 1881666956 |
---|---|
LBN Legal business name | Tadlock, Matthew David |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Feb 3rd, 2006 |
Last updated | Sep 22nd, 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.
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