Dejohn, Matthew
Dejohn, Matthew is an sole proprietor health care provider with primary practice located at 1611 Peach St Ste 105 , Erie PA 16501-2120. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Dejohn, Matthew can be contacted via phone (814) 823-5640.Contact Information
Primary practice address
1611 Peach St Ste 105
Erie PA 16501-2120
Phone: (814) 823-5640
Fax: (814) 240-6890
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | MD432541 | Pennsylvania |
Profile Details
NPI number | 1548455363 |
---|---|
LBN Legal business name | Dejohn, Matthew |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Sep 14th, 2007 |
Last updated | Apr 7th, 2020 - about 4 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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