Khosropour, Matthew Tyler

Khosropour, Matthew Tyler is an sole proprietor health care provider with primary practice located at 1110 E Saint Peter St , New Iberia LA 70560-3932. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Khosropour, Matthew Tyler can be contacted via phone (337) 364-1166.

Contact Information

Primary practice address
1110 E Saint Peter St New Iberia LA 70560-3932
Fax: (337) 364-7090
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP09821 Louisiana

Profile Details

NPI number 1790287746
LBN Legal business name Khosropour, Matthew Tyler
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 6th, 2018
Last updated Mar 6th, 2018 - about 8 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.

Request for update

Popular Providers