Bennett, Matthew Thomas

Bennett, Matthew Thomas is an individual health care provider with primary practice located at 52 Harrison St 2Nd Fl, Johnson City NY 13790-2120. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Bennett, Matthew Thomas can be contacted via phone (607) 748-7468.

Contact Information

Primary practice address
52 Harrison St 2Nd Fl Johnson City NY 13790-2120
Phone: (607) 748-7468
Fax: (607) 754-6130
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 230023 New York

Profile Details

NPI number 1831118199
LBN Legal business name Bennett, Matthew Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated Mar 16th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831118199 NPPES
New York Other 385812 MVP
New York MEDICAID 02655714 MVP

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