Pommerville, Matthew Weston
Pommerville, Matthew Weston is an individual health care provider with primary practice located at 1600 Snow Creek Dr , Park City UT 84060-7372. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Pommerville, Matthew Weston can be contacted via phone (435) 655-0055.Contact Information
Primary practice address
1600 Snow Creek Dr
Park City UT 84060-7372
Phone: (435) 655-0055
Fax: (435) 655-8979
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 8038057-4405 | Utah |
Profile Details
| NPI number | 1003425356 |
|---|---|
| LBN Legal business name | Pommerville, Matthew Weston |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 23rd, 2020 |
| Last updated | Feb 18th, 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.
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