Black, Matthew Crittenden
Black, Matthew Crittenden is an individual health care provider with primary practice located at 200 Lothrop St. C800, Pittsburgh PA 15213. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Black, Matthew Crittenden can be contacted via phone (412) 647-7555.Contact Information
Primary practice address
200 Lothrop St. C800
Pittsburgh PA 15213
Phone: (412) 647-7555
Fax: (412) 647-3710
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | 48212 | Kentucky |
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | MD464171 | Pennsylvania |
Profile Details
NPI number | 1891010567 |
---|---|
LBN Legal business name | Black, Matthew Crittenden |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 6th, 2010 |
Last updated | Aug 22nd, 2019 - about 6 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1891010567 | NPPES |
Kentucky | MEDICAID | 7100177690 |
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