MATTHEW RUSH
NPI 1457808990
Counselor - Professional in Cordova, AK
Active since September 01, 2016
About Matthew Rush NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MATTHEW RUSH (NPI 1457808990) is an individual professional provider in Cordova, Alaska, licensed in Alaska (113114) and active in the NPI registry since September 2016.
NPPES Registry Identity
NPI1457808990
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMATTHEW RUSH
Location Address705 SECOND STREETCordova, AK 99574
Mailing AddressPo Box 2204Cordova, AK 99574-2204 · (907) 424-3622
Phone(907) 424-3622
Sole ProprietorYes
Enumeration DateSeptember 1, 2016
✔ NPI 1457808990 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in AK · 113114
705 SECOND STREET, Cordova, AK 99574
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1457808990, enumerated as an "individual" on September 01, 2016.
The provider is located at 705 SECOND STREET CORDOVA, AK 99574 and the phone number is (907) 424-3622.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
