Shollenberger, Matt
Shollenberger, Matt is an sole proprietor health care provider with primary practice located at 833 N Park Rd Ste 204 , Wyomissing PA 19610-1341. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Shollenberger, Matt can be contacted via phone (484) 459-6423.Contact Information
Primary practice address
833 N Park Rd Ste 204
Wyomissing PA 19610-1341
Phone: (484) 459-6423
Fax: (484) 388-4359
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | PC002868 | Pennsylvania |
Profile Details
| NPI number | 1063514875 |
|---|---|
| LBN Legal business name | Shollenberger, Matt |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 2nd, 2006 |
| Last updated | Mar 20th, 2020 - about 6 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 | 1063514875 | NPPES |
| Pennsylvania | Other | 2319238000 | IBC |
| Pennsylvania | Other | 7784522 | IBC |
| Pennsylvania | Other | 592454000 | IBC |
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