Thomas, Matthew Roy

Thomas, Matthew Roy is an individual health care provider with primary practice located at 401 N 9Th St , Bismarck ND 58501-4507. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Thomas, Matthew Roy can be contacted via phone (701) 530-6000.

Contact Information

Primary practice address
401 N 9Th St Bismarck ND 58501-4507
Fax: (701) 530-6430
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 5240 North Dakota

Profile Details

NPI number 1215974779
LBN Legal business name Thomas, Matthew Roy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2006
Last updated Oct 23rd, 2008 - about 16 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 1215974779 NPPES
North Dakota MEDICAID 15036
North Dakota Other 83000159

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