Willard, Matthew

Willard, Matthew is an individual health care provider with primary practice located at 1 Toksook Bay Sub-Regional Clinic , Toksook Bay AK 99637. 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. Willard, Matthew can be contacted via phone (907) 543-6300.

Contact Information

Primary practice address
1 Toksook Bay Sub-Regional Clinic Toksook Bay AK 99637
Phone: (907) 543-6300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 629 Alaska

Profile Details

NPI number 1336360304
LBN Legal business name Willard, Matthew
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2007
Last updated Sep 7th, 2010 - about 16 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 1336360304 NPPES
Alaska MEDICAID MDA0196

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