Boulos, Matthew Stephen

Boulos, Matthew Stephen is an individual health care provider with primary practice located at 11640 Northpark Dr Ste 100 , Wake Forest NC 27587-5741. 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 / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Boulos, Matthew Stephen can be contacted via phone (919) 366-7759.

Contact Information

Primary practice address
11640 Northpark Dr Ste 100 Wake Forest NC 27587-5741
Phone: (919) 366-7759
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 2018-00732 North Carolina

Profile Details

NPI number 1316327323
LBN Legal business name Boulos, Matthew Stephen
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 4th, 2015
Last updated Jan 9th, 2024 - about last year

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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