Flanagan, Matthew Ross

Flanagan, Matthew Ross is an individual health care provider with primary practice located at 100 Medical Blvd , Canonsburg PA 15317-9762. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Flanagan, Matthew Ross can be contacted via phone (724) 873-5955.

Contact Information

Primary practice address
100 Medical Blvd Canonsburg PA 15317-9762
Fax: (724) 873-5907
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207RS0010X OS014703 Pennsylvania

Profile Details

NPI number 1811186133
LBN Legal business name Flanagan, Matthew Ross
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 23rd, 2007
Last updated Oct 13th, 2020 - about 5 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 1811186133 NPPES
Pennsylvania MEDICAID 1023429110001

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