Matthews, David Lee

Matthews, David Lee is an individual health care provider with primary practice located at 3434 12Th Ave Ne , Olympia WA 98506-5175. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Matthews, David Lee can be contacted via phone (360) 413-8470.

Contact Information

Primary practice address
3434 12Th Ave Ne Olympia WA 98506-5175
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X C5975 Arkansas
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 60599715 Washington

Profile Details

NPI number 1649238445
LBN Legal business name Matthews, David Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2006
Last updated May 24th, 2017 - about 8 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 1649238445 NPPES
Arkansas MEDICAID 106580001

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