Powers, Matt
Powers, Matt is an individual health care provider with primary practice located at 2233 State Route 86 , Saranac Lake NY 12983-5644. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Powers, Matt can be contacted via phone (518) 891-4141.Contact Information
Primary practice address
2233 State Route 86
Saranac Lake NY 12983-5644
Phone: (518) 891-4141
Fax: (518) 897-2423
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | New York |
Profile Details
| NPI number | 1265645402 |
|---|---|
| LBN Legal business name | Powers, Matt |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 7th, 2007 |
| Last updated | Jul 9th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265645402 | NPPES |
| New York | MEDICAID | 00363213 |
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