Matlock, Eric V. A.
Matlock, Eric V. A. is an individual health care provider with primary practice located at 901 E 5Th St Medical Staff Office, Washington MO 63090-3127. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Matlock, Eric V. A. can be contacted via phone (636) 239-8231.Contact Information
Primary practice address
901 E 5Th St Medical Staff Office
Washington MO 63090-3127
Phone: (636) 239-8231
Fax: (636) 239-9890
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 2005011343 | Missouri |
Profile Details
| NPI number | 1093788762 |
|---|---|
| LBN Legal business name | Matlock, Eric V. A. |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 10th, 2006 |
| Last updated | Sep 12th, 2014 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093788762 | NPPES |
| Missouri | Other | P00769834 | RAILROAD MEDICARE |
| Missouri | MEDICAID | 1093788762 | RAILROAD MEDICARE |
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