Morrison, Matthew John
Morrison, Matthew John is an sole proprietor health care provider with primary practice located at 1690 Dunlawton Ave Ste 210 , Port Orange FL 32127-8980. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Morrison, Matthew John can be contacted via phone (386) 763-4920.Contact Information
Primary practice address
1690 Dunlawton Ave Ste 210
Port Orange FL 32127-8980
Phone: (386) 763-4920
Fax: (386) 763-4939
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA 9100655 | Florida |
Profile Details
| NPI number | 1104814177 |
|---|---|
| LBN Legal business name | Morrison, Matthew John |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 12th, 2005 |
| Last updated | Apr 30th, 2021 - about 5 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 | 1104814177 | NPPES |
| Florida | MEDICAID | 290535300 |
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