MR. MATTHEW B DEWILD RN LMT NPI 1023315090

NPI Information

NPI: 1023315090
Provider Name: MR. MATTHEW B DEWILD, RN, LMT
Classification: Registered Nurse - 163WX0106X
Entity Type: Individual

Specialization: Occupational Health

Address:
201 W 2ND ST
SUITE 725
DAVENPORT, IA
ZIP 52801
Phone: (563) 484-0550
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MR. Matthew B Dewild, RN, LMT is an occupational health registered nurse in Davenport, IA. MR. Matthew B Dewild, RN, LMT NPI is 1023315090. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

201 W 2ND ST
SUITE 725
DAVENPORT, IA
ZIP 52801-818
Phone: (563) 484-0550

The enumeration date for this NPI number is 2/27/2011 and was last updated on 3/17/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		090478	IOWA	No
2	225700000X	Massage Therapist		006683	IOWA	No
3	163WX0106X	Registered Nurse	Occupational Health	090478	IOWA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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