Siket, Matthew Stephen

Siket, Matthew Stephen is an individual health care provider with primary practice located at 111 Colchester Ave , Burlington VT 05401-1473. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Siket, Matthew Stephen can be contacted via phone (802) 847-0000.

Contact Information

Primary practice address
111 Colchester Ave Burlington VT 05401-1473
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 246730 Massachusetts
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD13996 Rhode Island
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 042.0014172 Vermont

Profile Details

NPI number 1700088051
LBN Legal business name Siket, Matthew Stephen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2007
Last updated Feb 9th, 2024 - about 10 months 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 1700088051 NPPES
Rhode Island Other 939025129 RI MEDICARE GROUP

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