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:
Health care specialties
| Specialty | Code | License # | 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 9 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 | 1164740627 | NPPES |
| New Hampshire | MEDICAID | 3100897 | |
| New Hampshire | MEDICAID | 1024556 |
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