Wilkinson, Matthew Brian
Wilkinson, Matthew Brian is an sole proprietor health care provider with primary practice located at 2900 Frank Scott Pkwy W Ste 980 , Belleville IL 62223-5000. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Wilkinson, Matthew Brian can be contacted via phone (618) 234-9200.Contact Information
Primary practice address
2900 Frank Scott Pkwy W Ste 980
Belleville IL 62223-5000
Phone: (618) 234-9200
Fax: (618) 234-3940
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 036-107047 | Illinois |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 036107047 | Illinois |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036107047 | Illinois |
Profile Details
| NPI number | 1821083866 |
|---|---|
| LBN Legal business name | Wilkinson, Matthew Brian |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 15th, 2005 |
| Last updated | Jun 9th, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1821083866 | NPPES |
| Missouri | MEDICAID | 1821083866 | |
| Missouri | MEDICAID | 036107047 | |
| Missouri | Other | 08232205 |
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