Carr, Matthew David

Carr, Matthew David is an individual health care provider with primary practice located at 602 Michigan Ave , Holland MI 49423-4918. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, Allopathic & Osteopathic Physicians / Cytopathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is his primary health care specialty. Carr, Matthew David can be contacted via phone (616) 394-3185.

Contact Information

Primary practice address
602 Michigan Ave Holland MI 49423-4918
Phone: (616) 394-3185
Fax: (616) 494-4003
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 4301098138 Michigan
Allopathic & Osteopathic Physicians / Cytopathology 207ZC0500X 4301098138 Michigan

Profile Details

NPI number 1710199021
LBN Legal business name Carr, Matthew David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 7th, 2007
Last updated Jul 5th, 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 1710199021 NPPES
Indiana MEDICAID 200859920
Indiana Other I73433
Indiana Other 11-00719
Indiana Other 000000525386
Indiana Other P00402867

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