Wall, Matthew
Wall, Matthew is an sole proprietor health care provider with primary practice located at 118 Northport Ave , Belfast ME 04915-6009. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Wall, Matthew can be contacted via phone (207) 930-2639.Contact Information
Primary practice address
118 Northport Ave
Belfast ME 04915-6009
Phone: (207) 930-2639
Fax: (207) 338-8368
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | T0739 | Maine |
Profile Details
| NPI number | 1952500662 |
|---|---|
| LBN Legal business name | Wall, Matthew |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 12th, 2007 |
| Last updated | Mar 1st, 2012 - about 14 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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