Charnogursky, Matthew John

Charnogursky, Matthew John is an individual health care provider with primary practice located at 301 Scott Ave , Morgantown WV 26508-8804. He recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as his primary health care specialty. Charnogursky, Matthew John can be contacted via phone (304) 296-1731.

Contact Information

Primary practice address
301 Scott Ave Morgantown WV 26508-8804
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1982338315
LBN Legal business name Charnogursky, Matthew John
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2022
Last updated Jul 12th, 2022 - about 3 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 1982338315 NPPES
West Virginia MEDICAID F535319

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