Lister, Matthew Thomas

Lister, Matthew Thomas is an individual health care provider with primary practice located at 1 S Park St , Madison WI 53715-1375. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Lister, Matthew Thomas can be contacted via phone (608) 287-2100.

Contact Information

Primary practice address
1 S Park St Madison WI 53715-1375
Fax: (608) 833-6932
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 50324-20 Wisconsin

Profile Details

NPI number 1821200239
LBN Legal business name Lister, Matthew Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 6th, 2007
Last updated Jan 14th, 2021 - about 5 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 1821200239 NPPES
Wisconsin MEDICAID 34926700
Wisconsin Other P00609990

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