Dorn, Matthew Carlton
Dorn, Matthew Carlton is an individual health care provider with primary practice located at 16000 Johnston Memorial Dr Suite 101, Abingdon VA 24211-7664. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Dorn, Matthew Carlton can be contacted via phone (276) 258-1777.Contact Information
Primary practice address
16000 Johnston Memorial Dr Suite 101
Abingdon VA 24211-7664
Phone: (276) 258-1777
Fax: (276) 258-1778
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 34.0095-07 | Ohio |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 0102203056 | Virginia |
Profile Details
| NPI number | 1649477209 |
|---|---|
| LBN Legal business name | Dorn, Matthew Carlton |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 28th, 2007 |
| Last updated | Aug 20th, 2024 - about 2 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 | 1649477209 | NPPES |
| Virginia | Other | P01128299 | RAILROAD MEDICARE |
| Virginia | MEDICAID | 1649477209 | RAILROAD MEDICARE |
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