Jennings, Matthew T
Jennings, Matthew T is an individual health care provider with primary practice located at 1118 Ross Clark Cir , Dothan AL 36301-3001. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Jennings, Matthew T can be contacted via phone (334) 793-5105.Contact Information
Primary practice address
1118 Ross Clark Cir
Dothan AL 36301-3001
Phone: (334) 793-5105
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | D0768 | Alabama |
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | D0768 | Alabama |
Profile Details
| NPI number | 1124007091 |
|---|---|
| LBN Legal business name | Jennings, Matthew T |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 10th, 2006 |
| Last updated | Apr 25th, 2011 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124007091 | NPPES |
| Alabama | MEDICAID | 009994565 | |
| Alabama | Other | 018824088A | |
| Alabama | Other | 51528444 |
Popular Providers
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Smith, Jeremy Bernard
1108 Ross Clark Cir , Dothan AL 36301-3022 -
Willis, Mark L
208 Haven Dr Southeast Pain Mgmt Center, Dothan AL 36301-2909 -
York, James K
1118 Ross Clark Circle Suite 700, Dothan AL 36301 -
Nordhues, Craig A
1108 Ross Clark Cir , Dothan AL 36301-3022 -
Flanagan, Michael T
1108 Ross Clark Cir , Dothan AL 36301-3022 -
Hunt, Lewis A
1118 Ross Clark Circle Suite 700, Dothan AL 36301 -
Baumbach, Jeffrey W
1118 Ross Clark Circle Suite 700, Dothan AL 36301 -
Fillmore, Ralph B
1108 Ross Clark Circle , Dothan AL 36301