Koroscil, Matthew Thomas

Koroscil, Matthew Thomas is an individual health care provider with primary practice located at 4881 Sugar Maple Dr Bldg 830 , Wright Patterson Afb OH 45433-5529. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Koroscil, Matthew Thomas can be contacted via phone (210) 916-2153.

Contact Information

Primary practice address
4881 Sugar Maple Dr Bldg 830 Wright Patterson Afb OH 45433-5529
Phone: (210) 916-2153
Fax: (210) 916-0709
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 0101255503 Virginia
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 35135125 Ohio

Profile Details

NPI number 1518224872
LBN Legal business name Koroscil, Matthew Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2012
Last updated Jul 10th, 2019 - about 6 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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