Dornier, Matthew

Dornier, Matthew is an individual health care provider with primary practice located at 5131 Odonovan Dr Fl 1 , Baton Rouge LA 70808-4782. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as his primary health care specialty. Dornier, Matthew can be contacted via phone (225) 767-4893.

Contact Information

Primary practice address
5131 Odonovan Dr Fl 1 Baton Rouge LA 70808-4782
Phone: (225) 767-4893
Fax: (225) 767-5494
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X AP05143 Louisiana

Profile Details

NPI number 1649484346
LBN Legal business name Dornier, Matthew
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2007
Last updated Jan 7th, 2021 - about 4 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 1649484346 NPPES
Louisiana MEDICAID 1017396

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