Douglass, Matthew Aaron

Douglass, Matthew Aaron is an individual health care provider with primary practice located at 1248 E 17Th St , Idaho Falls ID 83404-6126. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Douglass, Matthew Aaron can be contacted via phone (208) 542-1026.

Contact Information

Primary practice address
1248 E 17Th St Idaho Falls ID 83404-6126
Phone: (208) 542-1026
Fax: (208) 528-2945
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 59035 Wyoming
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 Jun 10th, 2026 - about 5 months 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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