Terry, Matthew Lee

Terry, Matthew Lee is an individual health care provider with primary practice located at 365 Courthouse Rd , Princeton WV 24740-2431. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Terry, Matthew Lee can be contacted via phone (304) 425-3922.

Contact Information

Primary practice address
365 Courthouse Rd Princeton WV 24740-2431
Fax: (304) 487-0229
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 103773 West Virginia

Profile Details

NPI number 1619537834
LBN Legal business name Terry, Matthew Lee
Credentials APRN-CNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2019
Last updated Jun 19th, 2019 - about 5 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 1619537834 NPPES
West Virginia Other 103773 LICENSE

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