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Contact Information

MATTHEW A BISHOP, B.S.
1740 E 17TH ST
SUITE C
IDAHO FALLS, ID83404-6375
 Phone: 208-524-1278
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Rehabilitation

103TR0400X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for MATTHEW A BISHOP · (Male)

NPI # 1699099606
Status Active
Credentials B.S.
Entity Individual
Enumeration date 03/19/2010
Last updated 03/19/2010 - About 16 years ago
Sole proprietor 1 Yes
Identifiers Not Available
Hospital affiliation(s) Not Available
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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