Soberano, Matthew

Soberano, Matthew is an individual health care provider with primary practice located at 690 Dallas Hwy Ste 101 , Villa Rica GA 30180-1262. He recently has 3 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Allergy & Immunology. Allopathic & Osteopathic Physicians / Allergy & Immunology is his primary health care specialty. Soberano, Matthew can be contacted via phone (770) 459-0620.

Contact Information

Primary practice address
690 Dallas Hwy Ste 101 Villa Rica GA 30180-1262
Phone: (770) 459-0620
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 91572 Georgia
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X 91572 Georgia

Profile Details

NPI number 1386183218
LBN Legal business name Soberano, Matthew
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 12th, 2017
Last updated Nov 2nd, 2023 - about 2 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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