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
Phone: (207) 783-1449
Fax: (207) 777-3865
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386628063 | NPPES |
| Maine | MEDICAID | 433123499 |
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