West, Matthew Gregory

West, Matthew Gregory is an individual health care provider with primary practice located at 801 E Williams Ave Ste 2207 , Fallon NV 89406-3052. 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. West, Matthew Gregory can be contacted via phone (775) 423-3151.

Contact Information

Primary practice address
801 E Williams Ave Ste 2207 Fallon NV 89406-3052
Phone: (775) 423-3151
Fax: (775) 428-2166
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA1381 Nevada

Profile Details

NPI number 1811248933
LBN Legal business name West, Matthew Gregory
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2012
Last updated May 2nd, 2018 - about 8 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 1811248933 NPPES
Nevada MEDICAID 1811248933
Nevada Other 12436250

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