Mcginniss, Matthew Jerome
Mcginniss, Matthew Jerome is an sole proprietor health care provider with primary practice located at 9410 Carroll Park Dr , San Diego CA 92121-5201. He recently has only one registered license in Other Service Providers / Medical Genetics, Ph.D. Medical Genetics, which is considered as his primary health care specialty. Mcginniss, Matthew Jerome can be contacted via phone (858) 882-5986.Contact Information
Primary practice address
9410 Carroll Park Dr
San Diego CA 92121-5201
Phone: (858) 882-5986
Fax: (858) 410-6822
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Medical Genetics, Ph.D. Medical Genetics | 170100000X | ABMG-96135 | California |
| Other Service Providers / Medical Genetics, Ph.D. Medical Genetics | 170100000X | DRN 9 | California |
Profile Details
| NPI number | 1023214319 |
|---|---|
| LBN Legal business name | Mcginniss, Matthew Jerome |
| Credentials | PHD FACMG |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 22nd, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1023214319 | NPPES |
| Other | ABMG-96135 | MEDICAL GENETICS PHD | |
| Other | DRN9 | MEDICAL GENETICS PHD |
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