Sedgley, Matthew Daniel

Sedgley, Matthew Daniel is an individual health care provider with primary practice located at 9501 Old Annapolis Rd Suite 220, Ellicott City MD 21042-6314. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Sedgley, Matthew Daniel can be contacted via phone (410) 772-2000.

Contact Information

Primary practice address
9501 Old Annapolis Rd Suite 220 Ellicott City MD 21042-6314
Phone: (410) 772-2000
Fax: (410) 772-2039
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 43792 Minnesota
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X D0073797 Maryland

Profile Details

NPI number 1578546065
LBN Legal business name Sedgley, Matthew Daniel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2005
Last updated Nov 20th, 2012 - 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 1578546065 NPPES
Wisconsin MEDICAID 34376700
Wisconsin MEDICAID 430080700

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