Kershisnik, Matthew M
Kershisnik, Matthew M is an sole proprietor health care provider with primary practice located at 1400 N 500 E , Logan UT 84341-2455. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Kershisnik, Matthew M can be contacted via phone (435) 716-5375.Contact Information
Primary practice address
1400 N 500 E
Logan UT 84341-2455
Phone: (435) 716-5375
Fax: (843) 284-3401
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 1831351205 | Utah |
Profile Details
| NPI number | 1851363600 |
|---|---|
| LBN Legal business name | Kershisnik, Matthew M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 6th, 2006 |
| Last updated | Apr 20th, 2008 - about 16 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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