Smith, Matt

Smith, Matt is an sole proprietor health care provider with primary practice located at 3261 W State Rd , Saint Bonaventure NY 14778. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer is his primary health care specialty. Smith, Matt can be contacted via phone (716) 375-2230.

Contact Information

Primary practice address
3261 W State Rd Saint Bonaventure NY 14778
Phone: (716) 375-2230
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 003747 New York

Profile Details

NPI number 1124481601
LBN Legal business name Smith, Matt
Credentials LAT, ATC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 1st, 2016
Last updated Dec 5th, 2018 - about 6 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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