Dematteo, Dominic
Dematteo, Dominic is an individual health care provider with primary practice located at 132 Abigail Ln , Port Matilda PA 16870-7153. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Dematteo, Dominic can be contacted via phone (814) 272-7100.Contact Information
Primary practice address
132 Abigail Ln
Port Matilda PA 16870-7153
Phone: (814) 272-7100
Fax: (814) 272-6501
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | OS007877L | Pennsylvania |
Profile Details
| NPI number | 1457316804 |
|---|---|
| LBN Legal business name | Dematteo, Dominic |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 19th, 2006 |
| Last updated | Aug 31st, 2020 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1457316804 | NPPES |
| Pennsylvania | Other | 053949 | AOA |
| Pennsylvania | MEDICAID | 01564476 | AOA |
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