Woolsey, Matthew Warren

Woolsey, Matthew Warren is an individual health care provider with primary practice located at 601B W Washington St , Geneva NY 14456-2119. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Woolsey, Matthew Warren can be contacted via phone (315) 781-8448.

Contact Information

Primary practice address
601B W Washington St Geneva NY 14456-2119
Fax: (315) 781-8444
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 036504 New York

Profile Details

NPI number 1811030141
LBN Legal business name Woolsey, Matthew Warren
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2007
Last updated Apr 3rd, 2017 - about 8 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 1811030141 NPPES
New York MEDICAID 01051321

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