Wise, Matthew Whitten

Wise, Matthew Whitten is an individual health care provider with primary practice located at 2820 Napoleon Ave Suite 810, New Orleans LA 70115-6969. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Wise, Matthew Whitten can be contacted via phone (504) 412-1310.

Contact Information

Primary practice address
2820 Napoleon Ave Suite 810 New Orleans LA 70115-6969
Phone: (504) 412-1310
Fax: (504) 899-8496
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 024879 Louisiana

Profile Details

NPI number 1245251263
LBN Legal business name Wise, Matthew Whitten
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 23rd, 2006
Last updated Dec 23rd, 2010 - about 15 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 1245251263 NPPES
Louisiana MEDICAID 1570877
Louisiana MEDICAID 07133512

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