Dairman, Matthew C

Dairman, Matthew C is an sole proprietor health care provider with primary practice located at 171 N Main St , Suffolk VA 23434-4507. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Dairman, Matthew C can be contacted via phone (757) 934-0768.

Contact Information

Primary practice address
171 N Main St Suffolk VA 23434-4507
Fax: (757) 925-1901
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 0103300887 Virginia

Profile Details

NPI number 1144226853
LBN Legal business name Dairman, Matthew C
Credentials DPM, MS, FACFAS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 27th, 2005
Last updated Jan 19th, 2024 - about 11 months 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 1144226853 NPPES
Virginia Other 199840 ANTHEM BC/BS
Virginia Other 3125477 ANTHEM BC/BS
Virginia MEDICAID 010316057 ANTHEM BC/BS
Virginia Other 64460 ANTHEM BC/BS

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