Prohaska, Matthew Gregory

Prohaska, Matthew Gregory is an individual health care provider with primary practice located at 1315 Hospital Dr Nvrh Orthopaedics, St Johnsbury VT 05819-9210. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Prohaska, Matthew Gregory can be contacted via phone (802) 748-8141.

Contact Information

Primary practice address
1315 Hospital Dr Nvrh Orthopaedics St Johnsbury VT 05819-9210
Phone: (802) 748-8141
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 042-0013063 Vermont

Profile Details

NPI number 1164740627
LBN Legal business name Prohaska, Matthew Gregory
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 8th, 2010
Last updated Jul 6th, 2015 - about 10 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 1164740627 NPPES
New Hampshire MEDICAID 3100897
New Hampshire MEDICAID 1024556

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