Matlaga, Roman W
Matlaga, Roman W is an individual health care provider with primary practice located at 300 Lackawanna Ave Ste 200 , Scranton PA 18503-2001. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Matlaga, Roman W can be contacted via phone (570) 800-7515.Contact Information
Primary practice address
300 Lackawanna Ave Ste 200
Scranton PA 18503-2001
Phone: (570) 800-7515
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | OS008779L | Pennsylvania |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | OS008779L | Pennsylvania |
Profile Details
| NPI number | 1881688315 |
|---|---|
| LBN Legal business name | Matlaga, Roman W |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 12th, 2005 |
| Last updated | Dec 29th, 2023 - about 2 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 | 1881688315 | NPPES |
| Pennsylvania | Other | 814113 | FIRST PRIORITY HEALTH |
| Pennsylvania | Other | 785660 | FIRST PRIORITY HEALTH |
| Pennsylvania | MEDICAID | 001539491 | FIRST PRIORITY HEALTH |
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