Tulloch, Matthew J

Tulloch, Matthew J is an sole proprietor health care provider with primary practice located at 3205 W Kennewick Ave Ste C , Kennewick WA 99336-2919. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Tulloch, Matthew J can be contacted via phone (509) 783-2250.

Contact Information

Primary practice address
3205 W Kennewick Ave Ste C Kennewick WA 99336-2919
Fax: (509) 783-5560
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MA00010369 Washington

Profile Details

NPI number 1619193497
LBN Legal business name Tulloch, Matthew J
Credentials L.M.P.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 18th, 2007
Last updated Jul 8th, 2007 - about 17 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 1619193497 NPPES
Washington Other 2121000001 GROUP HEALTH
Washington Other 118461 GROUP HEALTH

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