Park, Matthew

Park, Matthew is an individual health care provider with primary practice located at 272 Hospital Rd , Chillicothe OH 45601-9031. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Park, Matthew can be contacted via phone (740) 779-7540.

Contact Information

Primary practice address
272 Hospital Rd Chillicothe OH 45601-9031
Phone: (740) 779-7540
Fax: (740) 779-7867
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 280510 Ohio

Profile Details

NPI number 1336134113
LBN Legal business name Park, Matthew
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2005
Last updated Dec 28th, 2020 - about 5 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 1336134113 NPPES
Ohio MEDICAID 2489838

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