Johnston, Matthew

Johnston, Matthew is an individual health care provider with primary practice located at 701 N 1St St , Springfield IL 62781-0001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Johnston, Matthew can be contacted via phone (217) 788-3156.

Contact Information

Primary practice address
701 N 1St St Springfield IL 62781-0001
Phone: (217) 788-3156
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X Illinois

Profile Details

NPI number 1780628677
LBN Legal business name Johnston, Matthew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2006
Last updated Jul 12th, 2007 - about 19 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 1780628677 NPPES
Illinois MEDICAID 0361028792

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