Blundell, Matthew Charles

Blundell, Matthew Charles is an individual health care provider with primary practice located at 1771 Northcrest Dr , Crescent City CA 95531-8922. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Blundell, Matthew Charles can be contacted via phone (707) 465-8666.

Contact Information

Primary practice address
1771 Northcrest Dr Crescent City CA 95531-8922
Phone: (707) 465-8666
Fax: (707) 465-8650
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A62659 California

Profile Details

NPI number 1073511796
LBN Legal business name Blundell, Matthew Charles
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2005
Last updated Sep 13th, 2012 - 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 1073511796 NPPES
California MEDICAID 00A626590
California Other 103292

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