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Contact Information

MATTHEW L BURRELL, DPM
144 HIGHLAND ST
PLYMOUTH, NH03264-1240
 Phone: 603-536-4563
 Fax: 603-536-1056
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for MATTHEW L BURRELL · (Male)

NPI # 1679521835
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 05/04/2006
Last updated 12/05/2014 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • ME License # POD 1026
  • NH License # 287
  • ME Medicaid 188430000
  • NH Medicaid 30362275
  • Other 1301419 CIGNA
  • ME Other 03Z003885ME01 ANTHEM
  • NH Other 03Y003885ME01 ANTHEM
Hospital affiliation(s)
  • SPEARE MEMORIAL HOSPITAL - (Critical Access)
    16 HOSPITAL ROAD
    PLYMOUTH, NH 03264
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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