Wilson, Matthew Mcewen

Wilson, Matthew Mcewen is an individual health care provider with primary practice located at 1 Medical Center Dr Palliative Medicine, Lebanon NH 03756-1000. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine is his primary health care specialty. Wilson, Matthew Mcewen can be contacted via phone (603) 650-5402.

Contact Information

Primary practice address
1 Medical Center Dr Palliative Medicine Lebanon NH 03756-1000
Phone: (603) 650-5402
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 052321 Colorado
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207RH0002X 17741 New Hampshire

Profile Details

NPI number 1477878072
LBN Legal business name Wilson, Matthew Mcewen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 7th, 2010
Last updated Jul 26th, 2016 - about 9 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 1477878072 NPPES
Colorado Other 024584 KAISER COMMERCIAL NUMBER
Colorado MEDICAID 26357232 KAISER COMMERCIAL NUMBER

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