Reid, Mathew Clayton

Reid, Mathew Clayton is an individual health care provider with primary practice located at 1229 E Seminole St Suite 320, Springfield MO 65804-2227. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Reid, Mathew Clayton can be contacted via phone (417) 820-2064.

Contact Information

Primary practice address
1229 E Seminole St Suite 320 Springfield MO 65804-2227
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 2004008966 Missouri

Profile Details

NPI number 1972557114
LBN Legal business name Reid, Mathew Clayton
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2006
Last updated Jan 18th, 2017 - about 9 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 1972557114 NPPES
Missouri Other 667028 HEALTHLINK
Missouri Other 6749504 HEALTHLINK
Missouri Other 20814 HEALTHLINK
Missouri Other 0602000 HEALTHLINK
Missouri Other 18942 HEALTHLINK
Missouri MEDICAID 502277007 HEALTHLINK
Missouri Other Q20276 HEALTHLINK
Missouri Other 190142 HEALTHLINK

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