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Mr. Matthew Levi Talley SR.

Rehabilitation Practitioner

474 E Wabash St 14
San Bernardino , California 92404-5351

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Image

Mr. Matthew Levi Talley SR.

Rehabilitation Practitioner

474 E Wabash St 14
San Bernardino , California 92404-5351

(909) 888-9328

Write a Review Save Call

Mr. Matthew Levi Talley SR.

Rehabilitation Practitioner

474 E Wabash St 14
San Bernardino , California 92404-5351

(909) 888-9328 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Rehabilitation Practitioner

Languages spoken

  • English

Location

474 E Wabash St 14 San Bernardino , California 92404-5351

First Address

  • Mr. Matthew Levi Talley SR.
  • 474 E Wabash St 14
  • San Bernardino, CA
  • Zip : 92404-5351
  • Phone : (909) 888-9328

Second Address

  • Mr. Matthew Levi Talley SR.
  • 474 E Wabash St 14
  • San Bernardino, CA
  • Zip : 92404-5351
  • Phone : (909) 888-9328

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FAQs


Where did Mr. Matthew Levi Talley SR. attend graduate school?

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Where did Mr. Matthew Levi Talley SR. do his residency?

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Where did Mr. Matthew Levi Talley SR. do his fellowship?

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Is Mr. Matthew Levi Talley SR. board certified?

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What type of doctor is Mr. Matthew Levi Talley SR.

Rehabilitation Practitioner

In what state does Mr. Matthew Levi Talley SR. practice in?

California

Where is Mr. Matthew Levi Talley SR.’s practice located?

474 E Wabash St 14 , San Bernardino, California, 92404-5351

What is Mr. Matthew Levi Talley SR.’s gender?

Male

Is Mr. Matthew Levi Talley SR. a sole practitioner?

No

Is Mr. Matthew Levi Talley SR. accepting new patients?

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What languages does Mr. Matthew Levi Talley SR. speak?

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Does Mr. Matthew Levi Talley SR. accept insurance?

Yes, Mr. Matthew Levi Talley SR. accepts insurance

Does Mr. Matthew Levi Talley SR. offers telemedicine?

Mr. Matthew Levi Talley SR. has not indicated if he offers telemedicine

What is Mr. Matthew Levi Talley SR.’s professional license number?

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What is Mr. Matthew Levi Talley SR.’s NPI number?

1053454132

Does Mr. Matthew Levi Talley SR. have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 225400000X Rehabilitation Practitioner

National Provider Identifier

NPI 1053454132
Provider Name Mr. Matthew Levi Talley SR.
First Address San Bernardino, CA 92404-5351
Second Address San Bernardino, CA 92404-5351
Gender M
NPI Entity type Individual
Is Sole Proprietor Yes
Is Organization Subpart N/A
Enumeration Date 15/02/2007
Last Update Date 08/07/2007

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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