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
Phone: (417) 820-2064
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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