Wise, Matthew Keith
Wise, Matthew Keith is an individual health care provider with primary practice located at Nau Campus Health Services 824 South San Francisco St, Flagstaff AZ 86001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Wise, Matthew Keith can be contacted via phone (928) 523-2131.Contact Information
Primary practice address
Nau Campus Health Services 824 South San Francisco St
Flagstaff AZ 86001
Phone: (928) 523-2131
Fax: (928) 527-4327
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | AA4327 | Alaska |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 45216 | Arizona |
Profile Details
| NPI number | 1497798714 |
|---|---|
| LBN Legal business name | Wise, Matthew Keith |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 14th, 2006 |
| Last updated | Jun 30th, 2023 - 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 | 1497798714 | NPPES |
| Alaska | MEDICAID | MD8586 | |
| Alaska | MEDICAID | 840513 |
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