Klock, Matthew Tyler

Klock, Matthew Tyler is an individual health care provider with primary practice located at 1100 9Th Ave , Seattle WA 98101-2756. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Klock, Matthew Tyler can be contacted via phone (206) 624-1144.

Contact Information

Primary practice address
1100 9Th Ave Seattle WA 98101-2756
Phone: (206) 624-1144
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X MA061315 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X MA061315 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X MK8734875 Washington

Profile Details

NPI number 1740812791
LBN Legal business name Klock, Matthew Tyler
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2020
Last updated Apr 23rd, 2024 - about last year

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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