David, Matthew Thomas
David, Matthew Thomas is an individual health care provider with primary practice located at 2893 Sturgis Rd , Rock Hill SC 29730-6607. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. David, Matthew Thomas can be contacted via phone (803) 366-9090.Contact Information
Primary practice address
2893 Sturgis Rd
Rock Hill SC 29730-6607
Phone: (803) 366-9090
Fax: (803) 366-9141
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 3345 | Arizona |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 0010-03548 | North Carolina |
Profile Details
| NPI number | 1578547949 |
|---|---|
| LBN Legal business name | David, Matthew Thomas |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 30th, 2005 |
| Last updated | Jul 31st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578547949 | NPPES |
| Arizona | MEDICAID | 1780614008 | |
| Arizona | MEDICAID | 1295993376 | |
| Arizona | MEDICAID | 1629236716 | |
| Arizona | MEDICAID | 1871523191 |
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