Johnson, Matthew T.

Johnson, Matthew T. is an individual health care provider with primary practice located at 92 Campus Dr , Scarborough ME 04074-7228. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Johnson, Matthew T. can be contacted via phone (207) 885-0011.

Contact Information

Primary practice address
92 Campus Dr Scarborough ME 04074-7228
Phone: (207) 885-0011
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA-703 Maine

Profile Details

NPI number 1972547404
LBN Legal business name Johnson, Matthew T.
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2006
Last updated Sep 5th, 2023 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972547404 NPPES
Maine MEDICAID 241390099
Maine MEDICAID 30336259

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