Individual provider · Type 1 NPI

Mathew S. Sisson, DO

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

NPI number 1619331964 Active

Practice location

3200 Maccorkle Ave SE Fl 4
Charleston, WV 25304-1227

Call (304) 388-5590 Map

Fax (304) 388-8238

Mailing address

3200 Macorkle Ave, 4th Floor
Charleston, WV 25304

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XED0649A (WV)

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 1619331964

Mathew S. Sisson, DO's National Provider Identifier is 1619331964, issued on Apr 12, 2016. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Charleston, WV. The record was last updated on Jul 21, 2022.