Kogut, Matthew Jay

Kogut, Matthew Jay is an individual health care provider with primary practice located at 325 9Th Ave , Seattle WA 98104. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Kogut, Matthew Jay can be contacted via phone (206) 543-6420.

Contact Information

Primary practice address
325 9Th Ave Seattle WA 98104
Phone: (206) 543-6420
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X MD60002838 Washington
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD60002838 Washington

Profile Details

NPI number 1366554412
LBN Legal business name Kogut, Matthew Jay
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Oct 11th, 2018 - about 7 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 1366554412 NPPES
Washington MEDICAID 1366554412
Washington Other 0264688

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