Smith, Matthew Donald

Smith, Matthew Donald is an individual health care provider with primary practice located at 1503 Elm St Suite E, Sanford NC 27330-5666. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Smith, Matthew Donald can be contacted via phone (919) 776-3750.

Contact Information

Primary practice address
1503 Elm St Suite E Sanford NC 27330-5666
Phone: (919) 776-3750
Fax: (919) 776-3760
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0010-00775 North Carolina

Profile Details

NPI number 1134273014
LBN Legal business name Smith, Matthew Donald
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 22nd, 2007
Last updated Jul 23rd, 2007 - about 19 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 1134273014 NPPES
North Carolina MEDICAID 69-66199
North Carolina Other 0010-00775

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