Dexter, Matthew

Dexter, Matthew is an individual health care provider with primary practice located at 116 East Ave Suite 2, Tallmadge OH 44278-2328. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Dexter, Matthew can be contacted via phone (330) 633-3656.

Contact Information

Primary practice address
116 East Ave Suite 2 Tallmadge OH 44278-2328
Phone: (330) 633-3656
Fax: (330) 633-3505
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 7554 Ohio

Profile Details

NPI number 1073503231
LBN Legal business name Dexter, Matthew
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2005
Last updated Jul 8th, 2007 - about 17 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 1073503231 NPPES
Ohio Other 000000138915 ANTHEM
Ohio MEDICAID 2244619 ANTHEM

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