Wise, Matthew Jay
Wise, Matthew Jay is an sole proprietor health care provider with primary practice located at 431 S Batavia St Ste 101 , Orange CA 92868-3937. He recently has only one registered license in Allopathic & Osteopathic Physicians / Phlebology, which is considered as his primary health care specialty. Wise, Matthew Jay can be contacted via phone (714) 363-3300.Contact Information
Primary practice address
431 S Batavia St Ste 101
Orange CA 92868-3937
Phone: (714) 363-3300
Fax: (714) 363-3847
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Phlebology | 202K00000X | C55031 | California |
Profile Details
| NPI number | 1235107038 |
|---|---|
| LBN Legal business name | Wise, Matthew Jay |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 9th, 2006 |
| Last updated | Mar 4th, 2024 - about 2 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 | 1235107038 | NPPES |
| New Mexico | MEDICAID | 69422834 |
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