Individual provider · Type 1 NPI

Matthew Jeremy Rosolen

Student in an Organized Health Care Education/Training Program · Morgantown, WV

NPI number 1407794696 Active

Practice location

6040 University Town Centre Dr
Morgantown, WV 26501-2421

Mailing address

1050 Valley View Ave Trlr 10
Morgantown, WV 26505-3680

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: 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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About NPI 1407794696

Matthew Jeremy Rosolen's National Provider Identifier is 1407794696, issued on Mar 23, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Morgantown, WV. The record was last updated on Mar 23, 2026.