Thompson, Matthew Karl
Thompson, Matthew Karl is an individual health care provider with primary practice located at 308 S Harbor City Blvd Suite B, Melbourne FL 32901-1500. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Thompson, Matthew Karl can be contacted via phone (321) 951-2416.Contact Information
Primary practice address
308 S Harbor City Blvd Suite B
Melbourne FL 32901-1500
Phone: (321) 951-2416
Fax: (321) 951-2077
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT10471 | Florida |
Profile Details
| NPI number | 1083696884 |
|---|---|
| LBN Legal business name | Thompson, Matthew Karl |
| Credentials | Registered Physical Therapist (RPT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 17th, 2005 |
| Last updated | Oct 2nd, 2015 - about 11 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 | 1083696884 | NPPES |
| Florida | MEDICAID | 888624500 | |
| Florida | Other | Y6308 |
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