Johnston, Matthew D
Johnston, Matthew D is an individual health care provider with primary practice located at 1255 East 3900 South , Salt Lake City UT 84124. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Johnston, Matthew D can be contacted via phone (918) 272-2247.Contact Information
Primary practice address
1255 East 3900 South
Salt Lake City UT 84124
Phone: (918) 272-2247
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 20266 | Oklahoma |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 9824877-1205 | Utah |
Profile Details
| NPI number | 1982692307 |
|---|---|
| LBN Legal business name | Johnston, Matthew D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 10th, 2005 |
| Last updated | Sep 29th, 2026 - about 8.3543171296296 days 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 | 1982692307 | NPPES |
| Oklahoma | MEDICAID | 100091330A | |
| Oklahoma | Other | 500522075 |
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