Kidd, Matthew Charles

Kidd, Matthew Charles is an sole proprietor health care provider with primary practice located at 2238 Paseo Del Rey St , Needles CA 92363-3520. He recently has only one registered license in Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine, which is considered as his primary health care specialty. Kidd, Matthew Charles can be contacted via phone (760) 326-2340.

Contact Information

Primary practice address
2238 Paseo Del Rey St Needles CA 92363-3520
Phone: (760) 326-2340
Fax: (760) 326-2340
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine 2083P0901X G37237 California

Profile Details

NPI number 1346232790
LBN Legal business name Kidd, Matthew Charles
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 20th, 2005
Last updated Oct 29th, 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 1346232790 NPPES
Arizona MEDICAID 185307-02
Arizona Other G372370
Arizona Other TRAVELERS
Arizona MEDICAID 00G372370
Arizona Other C379870

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