Tierney, Matthew J
Tierney, Matthew J is an individual health care provider with primary practice located at 46 Obery St , Plymouth MA 02360-2237. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Tierney, Matthew J can be contacted via phone (508) 746-6385.Contact Information
Primary practice address
46 Obery St
Plymouth MA 02360-2237
Phone: (508) 746-6385
Fax: (508) 747-6685
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 217632 | Massachusetts |
Profile Details
| NPI number | 1134105646 |
|---|---|
| LBN Legal business name | Tierney, Matthew J |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 16th, 2005 |
| Last updated | Jul 5th, 2022 - about 4 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 | 1134105646 | NPPES |
| Massachusetts | Other | J27151 | BCBSMA |
| Massachusetts | Other | 3657254 | BCBSMA |
| Massachusetts | Other | AA15261 | BCBSMA |
| Massachusetts | MEDICAID | 2036070 | BCBSMA |
| Massachusetts | Other | 468752 | BCBSMA |
| Massachusetts | Other | 1701676 | BCBSMA |
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