Matisko, Michael William

Matisko, Michael William is an sole proprietor health care provider with primary practice located at 170 Jamison Ln , Monroeville PA 15146-2327. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Matisko, Michael William can be contacted via phone (412) 823-8908.

Contact Information

Primary practice address
170 Jamison Ln Monroeville PA 15146-2327
Fax: (412) 349-0097
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X DS-025303-L Pennsylvania

Profile Details

NPI number 1124165915
LBN Legal business name Matisko, Michael William
Credentials D.M.D., M.S.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 31st, 2007
Last updated Jul 8th, 2007 - about 17 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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