Wood, Matthew William

Wood, Matthew William is an individual health care provider with primary practice located at 1 Medical Park Blvd Suite 400 East, Bristol TN 37620-7430. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Wood, Matthew William can be contacted via phone (423) 844-5400.

Contact Information

Primary practice address
1 Medical Park Blvd Suite 400 East Bristol TN 37620-7430
Phone: (423) 844-5400
Fax: (423) 844-5434
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 0000010369 Tennessee
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 0101057302 Virginia

Profile Details

NPI number 1588670822
LBN Legal business name Wood, Matthew William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2006
Last updated Oct 11th, 2011 - about 14 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 1588670822 NPPES
Virginia MEDICAID 6101267
Virginia MEDICAID 3195611
Virginia MEDICAID 9801396000

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