Preston, Matthew Michael
Preston, Matthew Michael is an individual health care provider with primary practice located at 900 Main St Suite 580, Peoria IL 61602-1005. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Preston, Matthew Michael can be contacted via phone (309) 637-4266.Contact Information
Primary practice address
900 Main St Suite 580
Peoria IL 61602-1005
Phone: (309) 637-4266
Fax: (309) 637-9838
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 35.097131 | Ohio |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 36.128542 | Illinois |
Profile Details
| NPI number | 1356549323 |
|---|---|
| LBN Legal business name | Preston, Matthew Michael |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 11th, 2007 |
| Last updated | Aug 4th, 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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