Sotheran, Matthew
Sotheran, Matthew is an individual health care provider with primary practice located at 1601 Wentzville Pkwy Ste 117 , Wentzville MO 63385-3814. 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. Sotheran, Matthew can be contacted via phone (636) 332-8477.Contact Information
Primary practice address
1601 Wentzville Pkwy Ste 117
Wentzville MO 63385-3814
Phone: (636) 332-8477
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 2019046725 | Missouri |
Profile Details
| NPI number | 1336788090 |
|---|---|
| LBN Legal business name | Sotheran, Matthew |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 29th, 2019 |
| Last updated | Oct 27th, 2020 - about 6 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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