Gervasi, Matthew

Gervasi, Matthew is an individual health care provider with primary practice located at 13447 Staff Sargent Sims St , Fort Bliss TX 79918. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Gervasi, Matthew can be contacted via phone (609) 828-8128.

Contact Information

Primary practice address
13447 Staff Sargent Sims St Fort Bliss TX 79918
Phone: (609) 828-8128
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X

Profile Details

NPI number 1437803418
LBN Legal business name Gervasi, Matthew
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2022
Last updated Aug 10th, 2022 - about 3 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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