Polk, Matthew Allen

Polk, Matthew Allen is an individual health care provider with primary practice located at 1 Healthy Way , Berkeley Springs WV 25411-7463. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, which is considered as his primary health care specialty. Polk, Matthew Allen can be contacted via phone (304) 258-6981.

Contact Information

Primary practice address
1 Healthy Way Berkeley Springs WV 25411-7463
Phone: (304) 258-6981
Fax: (304) 258-0508
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X 0103301039 Virginia
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X 02207 West Virginia

Profile Details

NPI number 1053574392
LBN Legal business name Polk, Matthew Allen
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2008
Last updated May 5th, 2022 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053574392 NPPES
West Virginia MEDICAID 1053574392

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