Matulis, Steven Robert

Matulis, Steven Robert is an individual health care provider with primary practice located at 3100 Maccorkle Ave Se Suite 509, Charleston WV 25304-1223. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Matulis, Steven Robert can be contacted via phone (304) 342-0821.

Contact Information

Primary practice address
3100 Maccorkle Ave Se Suite 509 Charleston WV 25304-1223
Fax: (304) 345-6679
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 14891 West Virginia

Profile Details

NPI number 1316955255
LBN Legal business name Matulis, Steven Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2006
Last updated Jun 28th, 2012 - about 12 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 1316955255 NPPES
West Virginia MEDICAID 0088400000

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