Lissauer, Matthew Eric
Lissauer, Matthew Eric is an individual health care provider with primary practice located at 22 S Greene St , Baltimore MD 21201-1544. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgical Critical Care, Allopathic & Osteopathic Physicians / Trauma Surgery. Allopathic & Osteopathic Physicians / Trauma Surgery is his primary health care specialty. Lissauer, Matthew Eric can be contacted via phone (410) 328-6704.Contact Information
Primary practice address
22 S Greene St
Baltimore MD 21201-1544
Phone: (410) 328-6704
Fax: (410) 328-4124
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgical Critical Care | 2086S0102X | 69621 | Connecticut |
| Allopathic & Osteopathic Physicians / Trauma Surgery | 2086S0127X | D0063229 | Maryland |
| Allopathic & Osteopathic Physicians / Trauma Surgery | 2086S0127X | 69621 | Connecticut |
| Allopathic & Osteopathic Physicians / Surgical Critical Care | 2086S0102X | D63229 | Maryland |
Profile Details
| NPI number | 1306808019 |
|---|---|
| LBN Legal business name | Lissauer, Matthew Eric |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 6th, 2006 |
| Last updated | Oct 13th, 2021 - about 3 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 | 1306808019 | NPPES |
| Maryland | MEDICAID | 408282600 | |
| Maryland | Other | P00259987 |
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