Casavant, Matthew Stephan
Casavant, Matthew Stephan is an sole proprietor health care provider with primary practice located at 1900 Don Wickham Drive Ste 120, Clermont FL 34711-1947. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Casavant, Matthew Stephan can be contacted via phone (352) 241-7050.Contact Information
Primary practice address
1900 Don Wickham Drive Ste 120
Clermont FL 34711-1947
Phone: (352) 241-7050
Fax: (352) 241-7035
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | OS8678 | Florida |
Profile Details
| NPI number | 1003815671 |
|---|---|
| LBN Legal business name | Casavant, Matthew Stephan |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 18th, 2005 |
| Last updated | Apr 26th, 2023 - about 3 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 | 1003815671 | NPPES |
| Florida | MEDICAID | 264093700 |
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