Varacallo, Matthew

Varacallo, Matthew is an sole proprietor health care provider with primary practice located at 145 Hospital Ave Ste 311 , Du Bois PA 15801-1465. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Varacallo, Matthew can be contacted via phone (814) 299-7432.

Contact Information

Primary practice address
145 Hospital Ave Ste 311 Du Bois PA 15801-1465
Phone: (814) 299-7432
Fax: (814) 299-7434
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 207X00000X Pennsylvania
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X MD467204 Pennsylvania
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 51607 Kentucky
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X MD467204 Pennsylvania

Profile Details

NPI number 1629415682
LBN Legal business name Varacallo, Matthew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 31st, 2013
Last updated Jul 5th, 2021 - about 4 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 1629415682 NPPES
Pennsylvania MEDICAID 103647928

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