Matthews, Jonathan C

Matthews, Jonathan C is an individual health care provider with primary practice located at 2841 Neal Metcalf Rd , Enterprise AL 36330-6331. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Matthews, Jonathan C can be contacted via phone (334) 347-5551.

Contact Information

Primary practice address
2841 Neal Metcalf Rd Enterprise AL 36330-6331
Phone: (334) 347-5551
Fax: (334) 347-5551
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 5315 Alabama

Profile Details

NPI number 1750304390
LBN Legal business name Matthews, Jonathan C
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2006
Last updated Sep 17th, 2016 - about 10 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 1750304390 NPPES
Alabama Other 51520606 BCBS
Alabama MEDICAID 630907079 BCBS

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