Blount, Mathew Douglas
Blount, Mathew Douglas is an individual health care provider with primary practice located at 10350 Haligus Rd Ste A , Huntley IL 60142-9545. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is his primary health care specialty. Blount, Mathew Douglas can be contacted via phone (815) 338-6600.Contact Information
Primary practice address
10350 Haligus Rd Ste A
Huntley IL 60142-9545
Phone: (815) 338-6600
Fax: (847) 802-7162
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 13276-33 | Wisconsin |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 209026550 | Illinois |
Profile Details
| NPI number | 1487303491 |
|---|---|
| LBN Legal business name | Blount, Mathew Douglas |
| Credentials | FNP-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 18th, 2022 |
| Last updated | Jan 17th, 2024 - 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.
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