Ellison, Matthew Blair

Ellison, Matthew Blair is an individual health care provider with primary practice located at 1 Medical Center Drive , Morgantown WV 26506. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Ellison, Matthew Blair can be contacted via phone (304) 598-4929.

Contact Information

Primary practice address
1 Medical Center Drive Morgantown WV 26506
Fax: (304) 598-4930
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 208D00000X West Virginia

Profile Details

NPI number 1760689012
LBN Legal business name Ellison, Matthew Blair
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2007
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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