Koff, Matthew Douglas
Koff, Matthew Douglas is an individual health care provider with primary practice located at One Medical Center Dr Department Of Anesthesiology And Critical Care, Lebanon NH 03756-0001. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Koff, Matthew Douglas can be contacted via phone (603) 650-4642.Contact Information
Primary practice address
One Medical Center Dr Department Of Anesthesiology And Critical Care
Lebanon NH 03756-0001
Phone: (603) 650-4642
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207LC0200X | 12109 | New Hampshire |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 12109 | New Hampshire |
Profile Details
| NPI number | 1154346138 |
|---|---|
| LBN Legal business name | Koff, Matthew Douglas |
| Credentials | M.D. M.S. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 12th, 2006 |
| Last updated | Jan 3rd, 2008 - about 18 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 | 1154346138 | NPPES |
| New Hampshire | MEDICAID | 30204003 | |
| New Hampshire | MEDICAID | 1010198 |
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