Madrid, Matthew A

Madrid, Matthew A is an individual health care provider with primary practice located at 2A Cherry Tree Dr , Nutter Fort WV 26301-4475. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Madrid, Matthew A can be contacted via phone (304) 622-5822.

Contact Information

Primary practice address
2A Cherry Tree Dr Nutter Fort WV 26301-4475
Phone: (304) 622-5822
Fax: (304) 622-9707
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 002003 West Virginia

Profile Details

NPI number 1033166087
LBN Legal business name Madrid, Matthew A
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2006
Last updated Dec 1st, 2016 - 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 1033166087 NPPES
West Virginia MEDICAID 7303101000

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