Williamson, Matthew E

Williamson, Matthew E is an individual health care provider with primary practice located at 777 Hospital Way Bldg B, Pocatello ID 83201-5175. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Williamson, Matthew E can be contacted via phone (208) 239-1000.

Contact Information

Primary practice address
777 Hospital Way Bldg B Pocatello ID 83201-5175
Phone: (208) 239-1000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 0102206546 Virginia
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X O-334 Idaho

Profile Details

NPI number 1467428540
LBN Legal business name Williamson, Matthew E
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2006
Last updated Sep 11th, 2023 - about last year

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 1467428540 NPPES
Idaho MEDICAID 807225800

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