Wilson, Matthew A

Wilson, Matthew A is an individual health care provider with primary practice located at 264 Pleasant St , Concord NH 03301-2551. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Wilson, Matthew A can be contacted via phone (603) 224-3368.

Contact Information

Primary practice address
264 Pleasant St Concord NH 03301-2551
Phone: (603) 224-3368
Fax: (603) 224-7815
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA714 Maine

Profile Details

NPI number 1972547552
LBN Legal business name Wilson, Matthew A
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2006
Last updated Nov 16th, 2017 - about 8 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 1972547552 NPPES
Maine MEDICAID 297110099
Maine MEDICAID 3099683

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