Matthew Thomas Corwin

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Charlottesville, VA

NPI 1447090139 · NPPES record last updated May 29, 2024

Key facts

NPI
1447090139
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
1215 Lee St Box 800223
Charlottesville, VA 22908-0816
Phone
(434) 924-5314
Fax
(434) 243-4743
NPI assigned
May 29, 2024
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

1215 Lee St Box 800223
Charlottesville, VA 22908-0816

Mailing address

1215 Lee St Box 800223
Charlottesville, VA 22908-0816
Phone (434) 924-5314

Other providers in Charlottesville, VA

All providers in Charlottesville, VA · Student in an Organized Health Care Education/Training Program in Virginia

Sources for this page

Verify at the official NPI Registry.