Sophy, Matthew C

Sophy, Matthew C is an individual health care provider with primary practice located at 73 Coal St , Port Carbon PA 17965-1823. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adult Medicine, which is considered as his primary health care specialty. Sophy, Matthew C can be contacted via phone (570) 622-6302.

Contact Information

Primary practice address
73 Coal St Port Carbon PA 17965-1823
Fax: (570) 622-7153
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X OS005079L Pennsylvania

Profile Details

NPI number 1922071620
LBN Legal business name Sophy, Matthew C
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 12th, 2006
Last updated Jul 8th, 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 1922071620 NPPES
Pennsylvania MEDICAID 0009455300002

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