Pace, Matthew Tyler
Pace, Matthew Tyler is an individual health care provider with primary practice located at 1260 N Arendell Ave , Zebulon NC 27597-8730. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Pace, Matthew Tyler can be contacted via phone (919) 235-1965.Contact Information
Primary practice address
1260 N Arendell Ave
Zebulon NC 27597-8730
Phone: (919) 235-1965
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 0010-11059 | North Carolina |
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 0010-11059 | North Carolina |
Profile Details
| NPI number | 1801404496 |
|---|---|
| LBN Legal business name | Pace, Matthew Tyler |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 20th, 2020 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801404496 | NPPES |
| North Carolina | MEDICAID | 1801404496 |
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