Grossman, Matthew G

Grossman, Matthew G is an individual health care provider with primary practice located at 12351 Perry Hwy , Wexford PA 15090-8344. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Grossman, Matthew G can be contacted via phone (412) 359-6581.

Contact Information

Primary practice address
12351 Perry Hwy Wexford PA 15090-8344
Phone: (412) 359-6581
Fax: (412) 359-3483
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RN-246354 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RN537065 Pennsylvania

Profile Details

NPI number 1750482782
LBN Legal business name Grossman, Matthew G
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2006
Last updated Oct 25th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750482782 NPPES
West Virginia MEDICAID 2602912000
West Virginia Other 000000250487
West Virginia MEDICAID 2358738

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