Chetta, Matthew Dale
Chetta, Matthew Dale is an individual health care provider with primary practice located at 200 Patewood Dr Ste B480 , Greenville SC 29615-6327. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Chetta, Matthew Dale can be contacted via phone (864) 454-4570.Contact Information
Primary practice address
200 Patewood Dr Ste B480
Greenville SC 29615-6327
Phone: (864) 454-4570
Fax: (864) 454-4575
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | 35134127 | Ohio |
| Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | 88707 | South Carolina |
Profile Details
| NPI number | 1689802704 |
|---|---|
| LBN Legal business name | Chetta, Matthew Dale |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 26th, 2009 |
| Last updated | Nov 15th, 2022 - about 2 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 | 1689802704 | NPPES |
| Ohio | MEDICAID | 0322265 | |
| Ohio | MEDICAID | PENDING |
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