Pyenta, Matthew G

Pyenta, Matthew G is an individual health care provider with primary practice located at 710 Main St , Lewiston ME 04240. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nephrology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Pyenta, Matthew G can be contacted via phone (207) 783-1449.

Contact Information

Primary practice address
710 Main St Lewiston ME 04240
Fax: (207) 777-3865
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 2082 Maine
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 2082 Maine

Profile Details

NPI number 1386628063
LBN Legal business name Pyenta, Matthew G
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2005
Last updated Feb 26th, 2013 - 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 1386628063 NPPES
Maine MEDICAID 433123499

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