Kerner, Matthew Brooks

Kerner, Matthew Brooks is an individual health care provider with primary practice located at 803 Pennsylvania Ave Ste 302, Charleston WV 25302. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Kerner, Matthew Brooks can be contacted via phone (304) 388-2950.

Contact Information

Primary practice address
803 Pennsylvania Ave Ste 302 Charleston WV 25302
Phone: (304) 388-2950
Fax: (304) 388-2951
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 0160002193 Vermont

Profile Details

NPI number 1083709232
LBN Legal business name Kerner, Matthew Brooks
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2006
Last updated Nov 15th, 2007 - about 19 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 1083709232 NPPES
Vermont MEDICAID 1010666
Vermont Other 0160002193
Vermont MEDICAID 3810009544

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