Provider Demographics
NPI:1578720058
Name:STRITT, MATTHEW T (MD)
Entity Type:Individual
Prefix:
First Name:MATTHEW
Middle Name:T
Last Name:STRITT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:715 N KANSAS AVE
Mailing Address - Street 2:STE 101
Mailing Address - City:HASTINGS
Mailing Address - State:NE
Mailing Address - Zip Code:68901-4422
Mailing Address - Country:US
Mailing Address - Phone:402-460-5787
Mailing Address - Fax:402-460-5794
Practice Address - Street 1:715 N KANSAS AVE
Practice Address - Street 2:STE 101
Practice Address - City:HASTINGS
Practice Address - State:NE
Practice Address - Zip Code:68901-4422
Practice Address - Country:US
Practice Address - Phone:402-460-5787
Practice Address - Fax:402-460-5794
Is Sole Proprietor?:No
Enumeration Date:2008-05-21
Last Update Date:2011-08-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME96680207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL000203100Medicaid
FL000203100Medicaid