Douglass, Matthew Aaron

Douglass, Matthew Aaron is an individual health care provider with primary practice located at 393 E 2Nd N , Rexburg ID 83440-1605. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Douglass, Matthew Aaron can be contacted via phone (208) 359-4840.

Contact Information

Primary practice address
393 E 2Nd N Rexburg ID 83440-1605
Phone: (208) 359-4840
Fax: (208) 359-9010
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN-37435 Idaho
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X CNP-78862 Idaho

Profile Details

NPI number 1396509311
LBN Legal business name Douglass, Matthew Aaron
Credentials PMHNP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2024
Last updated May 20th, 2024 - about 2 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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