Matthew G Small in South Haven - Family Medicine
Matthew G Small - NPI 1336168871
Matthew G Small is a Family Medicine in South Haven, Michigan. Matthew G Small practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Matthew G Small is 1336168871. The last update date is 2016-11-30.
Matthew G Small's current location address is 965 S Bailey Ave, South Haven, Michigan. You can contact this provider via phone number 2696392772 and fax number 2696392770. The mailing address for Matthew G Small is 965 S Bailey Ave, South Haven, Michigan. To know further, please read the information below!
Provider Profile Detail
Provider Name | Matthew G Small |
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Address | 965 S Bailey Ave, South Haven, Michigan |
Phone Number | 2696392772 |
Fax Number | 2696392770 |
Sole Proprietor | N |
Credentials | MD |
NPI Number Detail
NPI Number | 1336168871 |
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Provider Enumeration Date | 2006-07-18 |
Last Updated Date | 2016-11-30 |
Provider Mailing Address Detail
Address | 965 S Bailey Ave |
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City | South Haven |
State | Michigan (MI) |
Post Code | 490909701 |
Phone Number | 2696392772 |
Fax Number | 2696392770 |
Provider's Primary Taxonomy Detail
Speciality | Family Medicine |
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Taxonomy | 207Q00000X |
Licence No | 4301083155 |
Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
4628853 T10 | MI | -- |
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What is the unique identification code assigned to Matthew G Small by the Centers for Medicare & Medicaid Services?
The Matthew G Small has been issued the NPI (National Provider Identifier) 1336168871. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Matthew G Small?
The Matthew G Small is physically situated at 965 S Bailey Ave, in the city of South Haven, state of MI, with the postal code 490909701.
What is Matthew G Small's specialized field of practice, and what is the corresponding taxonomy classification code?
The Matthew G Small's area of specialization is Family Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207Q00000X.
On what date did the Matthew G Small receive the assignment of its 1336168871 from the Centers for Medicare & Medicaid Services?
The Matthew G Small was issued its 1336168871 by the Centers for Medicare & Medicaid Services on 2006-07-18.
As of what date were the Matthew G Small's details last updated?
The information pertaining to the Matthew G Small, including its address, specialty, and other details, was most recently updated on 2016-11-30.
NPI Number: 1902809924
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