Lally, Matthew Charles
Lally, Matthew Charles is an individual health care provider with primary practice located at 4110 W Sweetwater Dr , Tucson AZ 85745-9348. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is his primary health care specialty. Lally, Matthew Charles can be contacted via phone (520) 743-0411.Contact Information
Primary practice address
4110 W Sweetwater Dr
Tucson AZ 85745-9348
Phone: (520) 743-0411
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Addiction Medicine | 2084A0401X | 31926 | Arizona |
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | 31926 | Arizona |
Profile Details
| NPI number | 1750614467 |
|---|---|
| LBN Legal business name | Lally, Matthew Charles |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 13th, 2009 |
| Last updated | Sep 13th, 2009 - about 16 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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