person
Mathew S Sisson, DO
Student in an Organized Health Care Education/Training Program in Charleston, West Virginia
NPI 1619331964

Mathew S Sisson is a Student in an Organized Health Care Education/Training Program based in Charleston, WV. Mathew S Sisson practices in Charleston, WV and has the professional credentials of DO. The NPI Number for Mathew S Sisson is 1619331964 and holds a License No. ED0649A (West Virginia).

The current practice location address for Mathew S Sisson is 3200 Maccorkle Ave Se Fl 4, Charleston, WV and can be reached out via phone at 304-388-5590 and via fax at 304-388-8238. You can also correspond with Mathew S Sisson through the mailing address at 3200 MACORKLE AVE, CHARLESTON, WV - 25304 (mailing address contact number: 304-388-5590).

Location: 3200 Maccorkle Ave Se Fl 4, Charleston, WV, 25304
person
Provider Profile Details
NPI Number
1619331964
Provider Name
Mathew S Sisson
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
3200 Maccorkle Ave Se Fl 4, Charleston, WV, 25304
Phone Number
304-388-5590
Fax Number
304-388-8238
Provider Enumeration Date
04/12/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3200 Maccorkle Ave Se Fl 4
City
State
Zip
25304-1227
Phone Number
304-388-5590
Fax Number
304-388-8238
person
Provider Business Mailing Address Details
Address
3200 Maccorkle Ave Se Fl 4
City
State
Zip
25304-1227
Phone Number
304-388-5590
Fax Number
304-388-8238
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
ED0649A (West Virginia)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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