Matthews, Jeffery Carl

Matthews, Jeffery Carl is an sole proprietor health care provider with primary practice located at 810 Fairgrove Church Road , Hickory NC 28602-9617. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is his primary health care specialty. Matthews, Jeffery Carl can be contacted via phone (828) 326-3809.

Contact Information

Primary practice address
810 Fairgrove Church Road Hickory NC 28602-9617
Fax: (828) 326-3371
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 122324 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 053776 North Carolina

Profile Details

NPI number 1467444885
LBN Legal business name Matthews, Jeffery Carl
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 22nd, 2005
Last updated Oct 27th, 2020 - about 6 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 1467444885 NPPES
North Carolina MEDICAID 8052034

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