Mcpherson, Matthew

Mcpherson, Matthew is an individual health care provider with primary practice located at 4761 Lake Michigan Dr Nw Suite A, Grand Rapids MI 49534. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Mcpherson, Matthew can be contacted via phone (616) 791-7025.

Contact Information

Primary practice address
4761 Lake Michigan Dr Nw Suite A Grand Rapids MI 49534
Phone: (616) 791-7025
Fax: (269) 686-4264
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 7057 Arizona
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 5501011054 Michigan

Profile Details

NPI number 1871573436
LBN Legal business name Mcpherson, Matthew
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2006
Last updated May 24th, 2024 - about 2 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 1871573436 NPPES
Arizona MEDICAID 981391

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