Wilson, Matthew C

Wilson, Matthew C is an individual health care provider with primary practice located at 1001 20Th St , Huntington WV 25703. He recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy, which is considered as his primary health care specialty. Wilson, Matthew C can be contacted via phone (304) 529-6100.

Contact Information

Primary practice address
1001 20Th St Huntington WV 25703
Phone: (304) 529-6100
Fax: (304) 529-0229
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy 207KA0200X 24827 Kentucky
Allopathic & Osteopathic Physicians / Allergy 207KA0200X 13029 West Virginia

Profile Details

NPI number 1891726295
LBN Legal business name Wilson, Matthew C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2006
Last updated Sep 5th, 2014 - about 11 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 1891726295 NPPES
West Virginia MEDICAID 0070510000
West Virginia MEDICAID 64694763

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