Conway, Matthew A

Conway, Matthew A is an individual health care provider with primary practice located at 241 Stratton Road , Rutland VT 05701-4621. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Conway, Matthew A can be contacted via phone (802) 775-1903.

Contact Information

Primary practice address
241 Stratton Road Rutland VT 05701-4621
Phone: (802) 775-1903
Fax: (802) 775-5503
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 0420009840 Vermont

Profile Details

NPI number 1528019387
LBN Legal business name Conway, Matthew A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2006
Last updated Feb 14th, 2011 - about 13 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 1528019387 NPPES
Other 020042452 MRR
MEDICAID OVN1990 MRR
Other 030235856012 MRR
Other 619320 MRR
Other 319889 MRR
Other 8000469 MRR
Other 189383 MRR
Other 28407 MRR
Other 00039889 MRR

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