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Contact Information

MATTHEW T MCEWAN, DO
11306 BRIDGEPORT WAY SW STE D
LAKEWOOD, WA98499-3037
 Phone: 253-983-9390
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
Indicates primary specialty

NPI Profile & details for MATTHEW T MCEWAN · (Male)

NPI Number 1699114025
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 06/19/2013
Last updated 07/13/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • AL License # DO.1957
  • FL License # OS15925
  • WA License # OP61109043
Hospital affiliation(s)
  • FORT WALTON BEACH MEDICAL CENTER - (Acute Care)
    1000 MAR-WALT DR
    FORT WALTON BEACH, FL 32547
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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