Probst, Matthew D.

Probst, Matthew D. is an individual health care provider with primary practice located at 2020 7Th St , Las Vegas NM 87701-4958. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Probst, Matthew D. can be contacted via phone (505) 434-0119.

Contact Information

Primary practice address
2020 7Th St Las Vegas NM 87701-4958
Phone: (505) 434-0119
Fax: (877) 553-1272
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA2003-0043 New Mexico

Profile Details

NPI number 1053305474
LBN Legal business name Probst, Matthew D.
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2005
Last updated Feb 23rd, 2023 - about 3 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 1053305474 NPPES
New Mexico MEDICAID 60950277
New Mexico Other NM400319

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