Edel, Matthew Thomas
Edel, Matthew Thomas is an individual health care provider with primary practice located at 1200 Pleasant St , Des Moines IA 50309-1406. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is his primary health care specialty. Edel, Matthew Thomas can be contacted via phone (515) 241-6435.Contact Information
Primary practice address
1200 Pleasant St
Des Moines IA 50309-1406
Phone: (515) 241-6435
Fax: (515) 241-8010
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 276527 | New York |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | DO-04812 | Iowa |
Profile Details
| NPI number | 1760773626 |
|---|---|
| LBN Legal business name | Edel, Matthew Thomas |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 27th, 2011 |
| Last updated | Jul 21st, 2022 - about 3 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 | 1760773626 | NPPES |
| Iowa | MEDICAID | 1760773626 |
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