Chynoweth, Matthew D

Chynoweth, Matthew D is an individual health care provider with primary practice located at 4850 Chinook Trl , Casper WY 82604-5201. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Medical Genetics, Ph.D. Medical Genetics, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Chynoweth, Matthew D can be contacted via phone (307) 473-8173.

Contact Information

Primary practice address
4850 Chinook Trl Casper WY 82604-5201
Phone: (307) 473-8173
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Medical Genetics, Ph.D. Medical Genetics 170100000X 7192A Wyoming
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 7192A Wyoming

Profile Details

NPI number 1376658104
LBN Legal business name Chynoweth, Matthew D
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 20th, 2006
Last updated Oct 19th, 2021 - 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 1376658104 NPPES
Wyoming MEDICAID 121629500

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