Gossage, Matthew Ryan
Gossage, Matthew Ryan is an individual health care provider with primary practice located at 1210 W Faris Rd , Greenville SC 29605-4444. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Gossage, Matthew Ryan can be contacted via phone (864) 522-1800.Contact Information
Primary practice address
1210 W Faris Rd
Greenville SC 29605-4444
Phone: (864) 522-1800
Fax: (864) 522-1806
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 30876 | South Carolina |
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | 30876 | South Carolina |
Profile Details
| NPI number | 1750540654 |
|---|---|
| LBN Legal business name | Gossage, Matthew Ryan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 5th, 2008 |
| Last updated | Dec 7th, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750540654 | NPPES |
| South Carolina | Other | P01426882 | RAILROAD MEDICARE |
| South Carolina | MEDICAID | 308768 | RAILROAD MEDICARE |
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