Head, David Matthew

Head, David Matthew is an individual health care provider with primary practice located at 306 West 5Th Ave , Nome AK 99762-0966. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Head, David Matthew can be contacted via phone (907) 443-3311.

Contact Information

Primary practice address
306 West 5Th Ave Nome AK 99762-0966
Fax: (907) 443-3139
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 2369 Alaska

Profile Details

NPI number 1689644288
LBN Legal business name Head, David Matthew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2006
Last updated Apr 26th, 2012 - about 14 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 1689644288 NPPES
Alaska MEDICAID MD2369

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