Doerr, Matthew Dale

Doerr, Matthew Dale is an individual health care provider with primary practice located at 8720 Stony Point Pkwy Suite 135, Richmond VA 23235-1988. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Other Service Providers / Specialist. Other Service Providers / Specialist is his primary health care specialty. Doerr, Matthew Dale can be contacted via phone (804) 272-8040.

Contact Information

Primary practice address
8720 Stony Point Pkwy Suite 135 Richmond VA 23235-1988
Phone: (804) 272-8040
Fax: (804) 272-7344
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 0101252608 Virginia
Other Service Providers / Specialist 174400000X 0101252608 Virginia

Profile Details

NPI number 1962792630
LBN Legal business name Doerr, Matthew Dale
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2011
Last updated Jul 10th, 2019 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962792630 NPPES
Virginia MEDICAID 1962792630

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