Elchin, Matthew W

Elchin, Matthew W is an individual health care provider with primary practice located at 1086 Franklin St , Johnstown PA 15905-4305. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Elchin, Matthew W can be contacted via phone (814) 539-5987.

Contact Information

Primary practice address
1086 Franklin St Johnstown PA 15905-4305
Phone: (814) 539-5987
Fax: (814) 535-4176
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X MA051064 Pennsylvania

Profile Details

NPI number 1700854221
LBN Legal business name Elchin, Matthew W
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 10th, 2006
Last updated Jan 9th, 2012 - about 14 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 1700854221 NPPES
Pennsylvania Other 1956773 HIGHMARK BC BS
Pennsylvania MEDICAID 07822620 HIGHMARK BC BS

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