Rutman, Matthew Charles

Rutman, Matthew Charles is an individual health care provider with primary practice located at 301 E Main St , Bay Shore NY 11706-8408. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Rutman, Matthew Charles can be contacted via phone (631) 675-4149.

Contact Information

Primary practice address
301 E Main St Bay Shore NY 11706-8408
Phone: (631) 675-4149
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 230661 New York

Profile Details

NPI number 1013969880
LBN Legal business name Rutman, Matthew Charles
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Oct 9th, 2007 - about 17 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 1013969880 NPPES
New York MEDICAID 02574418

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