Healthcare Provider Details

I. General information

NPI: 1518218536
Provider Name (Legal Business Name): MATTHEWS ENTERPRISES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/01/2012
Last Update Date: 10/01/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

107 RUSSELL DR
MILFORD DE
19963-1353
US

IV. Provider business mailing address

107 RUSSELL DR
MILFORD DE
19963-1353
US

V. Phone/Fax

Practice location:
  • Phone: 302-363-5839
  • Fax: 302-424-7755
Mailing address:
  • Phone: 302-363-5839
  • Fax: 302-424-7755

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MR. WILLIAM BENJAMIN MATTHEWS
Title or Position: PRESIDENT
Credential:
Phone: 302-363-5839