Gaffney, Matthew Russell

Gaffney, Matthew Russell is an sole proprietor health care provider with primary practice located at 530 Ne Glen Oak Ave , Peoria IL 61637-0001. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Gaffney, Matthew Russell can be contacted via phone (309) 655-3863.

Contact Information

Primary practice address
530 Ne Glen Oak Ave Peoria IL 61637-0001
Phone: (309) 655-3863
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 125.073310 Illinois
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 125.073310 Illinois

Profile Details

NPI number 1639664501
LBN Legal business name Gaffney, Matthew Russell
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 24th, 2018
Last updated Jun 24th, 2018 - 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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