Anderson, Matthew R
Anderson, Matthew R is an individual health care provider with primary practice located at 21681 N 77Th Ave Suite 1405, Peoria AZ 85382-2132. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Anderson, Matthew R can be contacted via phone (623) 312-2265.Contact Information
Primary practice address
21681 N 77Th Ave Suite 1405
Peoria AZ 85382-2132
Phone: (623) 312-2265
Fax: (623) 312-2266
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 36198 | Arizona |
Profile Details
| NPI number | 1336119973 |
|---|---|
| LBN Legal business name | Anderson, Matthew R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 25th, 2006 |
| Last updated | Nov 6th, 2014 - about 12 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 | 1336119973 | NPPES |
| Arizona | MEDICAID | 345804 | |
| Arizona | Other | P00623658 |
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