Lankist, Matthew Edward

Lankist, Matthew Edward is an individual health care provider with primary practice located at 4970 Highway 90 , Marianna FL 32446-6802. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Lankist, Matthew Edward can be contacted via phone (850) 718-5620.

Contact Information

Primary practice address
4970 Highway 90 Marianna FL 32446-6802
Phone: (850) 718-5620
Fax: (850) 718-5670
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X ARNP2899592 Florida

Profile Details

NPI number 1073536561
LBN Legal business name Lankist, Matthew Edward
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2006
Last updated Mar 14th, 2017 - about 9 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 1073536561 NPPES
Florida MEDICAID 302183100
Florida Other Y6876Z

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