Deneke, Matthew
Deneke, Matthew is an individual health care provider with primary practice located at 4301 W Markham St # 783 , Little Rock AR 72205. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Gastroenterology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Deneke, Matthew can be contacted via phone (501) 686-8000.Contact Information
Primary practice address
4301 W Markham St # 783
Little Rock AR 72205
Phone: (501) 686-8000
Fax: (501) 526-4596
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 107008 | Minnesota |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 56852 | Minnesota |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | E-4436 | Arkansas |
Profile Details
| NPI number | 1689764151 |
|---|---|
| LBN Legal business name | Deneke, Matthew |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 13th, 2006 |
| Last updated | Sep 26th, 2018 - about 7 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 | 1689764151 | NPPES |
| Arkansas | MEDICAID | 157947001 | |
| Arkansas | Other | 05060013900 | |
| Arkansas | Other | 5N259 | |
| Arkansas | Other | P00295353 |
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