Johnston, Matthew Philip

Johnston, Matthew Philip is an individual health care provider with primary practice located at 1178 Kinoole St , Hilo HI 96720-7206. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is his primary health care specialty. Johnston, Matthew Philip can be contacted via phone (083) 338-3600.

Contact Information

Primary practice address
1178 Kinoole St Hilo HI 96720-7206
Phone: (083) 338-3600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3007618 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 3540 Hawaii

Profile Details

NPI number 1134482755
LBN Legal business name Johnston, Matthew Philip
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2012
Last updated Jul 18th, 2022 - 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 1134482755 NPPES
Kentucky MEDICAID 7100215240
Kentucky Other 000000781639
Kentucky Other P01105256
Kentucky Other 000000781754
Kentucky Other 3540

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